STEPHEN KEITH GRANDFIELD DPM NPI 1811008204

NPI Information

NPI: 1811008204
Provider Name: STEPHEN KEITH GRANDFIELD, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
303 W 89TH AVE
SUITE E1
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 736-8915
Get Directions

Stephen Keith Grandfield, DPM is a foot and ankle surgery podiatrist in Merrillville, IN. Stephen Keith Grandfield, DPM NPI is 1811008204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

303 W 89TH AVE
SUITE E1
MERRILLVILLE, IN
ZIP 46410-294
Phone: (219) 736-8915
Fax: (219) 736-8928

The enumeration date for this NPI number is 8/31/2006 and was last updated on 2/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	07000353A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	492470A	MEDICARE PIN	INDIANA
2	1089370001	OTHER	INDIANA	MEDICARE DMERC
3	T34864	MEDICARE UPIN	INDIANA
4	480016271	OTHER	INDIANA	RR MEDICARE
5	100207960A	MEDICAID	INDIANA
6	100166360B	MEDICAID	INDIANA
7	100166360A	MEDICAID	INDIANA
8	653120A	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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