Sophia Z Grant, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

039434 Issued in CT

Practice address

20 Felicity LN
Torrington, CT 06790-6101

Phone

(860) 489-4144

Fax

(860) 489-4412

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sgrant131916@direct.llu.edu

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1972547297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FELICITY LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906101",
            "telephone_number": "860-689-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FELICITY LN",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906101",
            "telephone_number": "860-489-4144",
            "fax_number": "860-489-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SOPHIA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CT",
            "license": "039434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001394345",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Pauze Gordon, BCBA, LBA
• Timothy Peter Gostkowski, MD
• Dennis Jay Gottfried, MD
• Ridhima Goyal, DMD
• Michael Alexander Grant, MD
• Carol Jean Greeley, L.P.C.
• E Ruth Greenberg
• Rita Greene, LCSW
• Nathan Greenfield, PHARMD
• Peter T. Gregor, D.C.

• Pediatric Adolescent Medicine Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.