Active NPI
Anne Seniow Grantham, M.D.
- Family Medicine Physician
- Akron, OH
National Provider Identifier
1992791016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35058863
- Practice address
- 571 E Turkeyfoot Lake Rd
Suite a
Akron, OH 44319-4122 - Phone
- (330) 896-3033
- Fax
- (330) 896-5692
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35058863 | OH | Primary |
Addresses
Primary practice location
571 E Turkeyfoot Lake Rd
Suite a
Akron, OH 44319-4122
Mailing address
1587 Boettler Rd Ste 110
Uniontown, OH 44685-7823
Phone (330) 896-3033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0768807 | Medicaid | OH | |
| 080175930 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35058863 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Interoperability endpoints
- agrantham522674@direct.ccf.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1992791016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 BOETTLER RD STE 110",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446857823",
"telephone_number": "330-896-3033",
"fax_number": "330-896-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 E TURKEYFOOT LAKE RD",
"address_2": "SUITE A",
"city": "AKRON",
"state": "OH",
"postal_code": "443194122",
"telephone_number": "330-896-3033",
"fax_number": "330-896-5692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANTHAM",
"first_name": "ANNE",
"middle_name": "SENIOW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35058863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0768807",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080175930",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.