Tyler Grant, DO | |
613 23rd St Ste 440, Ashland, KY 41101-2885 | |
(606) 329-2888 | |
(606) 329-2890 |
Full Name | Tyler Grant |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 613 23rd St Ste 440, Ashland, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902221823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 04400 (Kentucky) | Primary |
208600000X | Surgery | 34.013095 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Medical Center | Ashland, KY | Hospital |
Kings Daughters Medical Center Ohio | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kings Daughters Medical Specialties Inc | 6103968029 | 326 |
Kings Daughters Medical Specialties Inc | 6103968029 | 326 |
Entity Name | Kings Daughters Medical Specialties Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710215736 PECOS PAC ID: 6103968029 Enrollment ID: O20100217000538 |
Mailing Address | Practice Location Address |
---|---|
Tyler Grant, DO Po Box 2379, Ashland, KY 41105-2379 Ph: (606) 408-6200 | Tyler Grant, DO 613 23rd St Ste 440, Ashland, KY 41101-2885 Ph: (606) 329-2888 |
Dr. Juan Guillermo Bastidas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 210, Ashland, KY 41101 Phone: 606-326-9847 Fax: 606-324-3418 | |
Mr. John Kevin Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 330 21st St, Ashland, KY 41101 Phone: 833-409-3747 | |
Dr. Omran Riad Abul-khoudoud, MD, FACS, RVT Surgery Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 520, Ashland, KY 41101 Phone: 606-326-1675 Fax: 606-326-1436 | |
Roderick J. Tompkins Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St, Suite 440, Ashland, KY 41101 Phone: 606-329-2888 Fax: 606-329-2890 | |
Dr. Mary Katherine Hughes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 19, Ashland, KY 41101 Phone: 606-325-2221 Fax: 606-324-1326 | |
Shauna Lorenzo-rivero, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 613 23rd St Ste 430, Ashland, KY 41101 Phone: 606-408-8200 Fax: 606-408-6291 | |
Khalid Shalaby, Surgery Medicare: Accepting Medicare Assignments Practice Location: 617 23rd St Ste 13, Suite 6, Painter Bldg., Ashland, KY 41101 Phone: 606-325-1151 |