Grantham Medical, PLLC
NPI 1699582304ActiveOrganization· Physician Assistant, Surgical· San Antonio, TX
Physician Assistant, Surgical in San Antonio, Texas, registered in NPPES in December 2024. The authorized official on file is Krista Grantham, PA-C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699582304 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2024 |
| Last updated in NPPES | Dec 30, 2024 |
| Certified by provider | Dec 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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