Mary Grandon, PA-C

ActiveIndividual ProviderPhysician Assistant
NPI issued: March 14, 2006

Quick Facts

NPI Number
1790754638
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(304) 548-7272
StateWV

NPI Validation Status: Verified

Valid 10-digit NPI number (1790754638)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 14, 2006)
Data source: CMS NPPES

Provider Overview

MARY GRANDON, PA-C is a Physician Assistant provider based in Clendenin, WV who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790754638
Provider TypeIndividual Provider
GenderFemale
CredentialPA-C
StatusActive
Enumeration DateMarch 14, 2006

Practice Location

CityClendenin
StateWV
ZIP Code25045
Phone(304) 548-7272

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateWV

Mailing Address

CityClendenin
StateWV
ZIP Code25045
Phone(304) 548-7272
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790754638 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790754638for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790754638 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

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158,607
Physician Assistant Providers in the US

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People Also Ask

What is Mary Grandon's NPI number?
Mary Grandon's NPI number is 1790754638, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mary Grandon's NPI currently active?
Yes, Mary Grandon's NPI status is Active as of the latest CMS NPPES database updates.
What does Mary Grandon specialize in?
Mary Grandon specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Mary Grandon practice?
Mary Grandon practices in Clendenin, WV 25045.
When was Mary Grandon's NPI issued?
Mary Grandon's NPI was issued on March 14, 2006.
What is Mary Grandon's provider type?
Mary Grandon is registered as an Individual Provider under CMS NPI Type 1.