Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD424018 | PA |
NPI | 1265495667 |
---|---|
Provider Name | Aaron Grand |
First Address | Wexford, PA 15090-7380 |
Second Address | Wexford, PA 15090-7380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1010963120001 | (05) | PA |
1254270001 | DMERC REGION A (01) | PA |
1540437 | GATEWAY HEALTH PLAN (01) | PA |
1616961 | BLUE CROSS/BLUE SHIELD (01) | PA |
248052 | BLUE SHIELD - DME (01) | PA |
25180380900 | WV WORKERS COMPENSATION (01) | WV |
256869 | HEALTHAMERICA/HEALTHASSURANCE (01) | PA |
7991553 | AETNA (01) | PA |
H93307 | (02) | PA |
P00147891 | RAILDROAD MEDICARE (01) | PA |