MEDICARE: GRANT MCCANN MUSSMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	90067	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639138209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRANT MCCANN MUSSMAN M.D.

Provider Business Mailing Address
First Line	:	7777 YANKEE ROAD ML 16026
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-3500
Country	:	US
Telephone Number	:	513-803-9649
Fax Number	:	513-803-9659

Provider Business Practice Location Address
First Line	:	7777 YANKEE ROAD ML 16026
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-3500
Country	:	US
Telephone Number	:	513-803-9649
Fax Number	:	513-803-9659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	02/18/2015

Similar Medicare Providers

1932036670 — LEAH BOOM-JACKSON
Practice Location Address:

7777 YANKEE RD
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-803-9600
Practice Fax:

1144299843 — SHANE E DULEMBA NP
Practice Location Address:

7777 YANKEE RD , PSYCHIATRY - LIBERTY CAMPUS ML 16066
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-803-9600
Practice Fax:

1639106701 — CATHERINE W GOULDIN M.D.
Practice Location Address:

7777 YANKEE RD , ML 16022
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-803-9740
Practice Fax: 513-803-9564

1346361243 — KATHLEEN A. MCGEE CNP
Practice Location Address:

7777 YANKEE ROAD, ML 16028
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-803-9658
Practice Fax: 513-803-9662

1407078520 — KARA MICHELLE FREY PA-C, ATC-L
Practice Location Address:

7777 YANKEE RD
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-636-3200
Practice Fax: 513-803-1111

1578794111 — PAULA S SEWARD LISW-S
Practice Location Address:

PSYCHIATRY/PSYCHOLOGY - LIBERTY CAMPUS , 7777 YANKEE ROAD, #16066
LIBERTY TOWNSHIP, OH
45044-3500

Practice Phone: 513-803-9600
Practice Fax: 513-636-2300

Directions to “ GRANT MCCANN MUSSMAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.