MEDICARE: RONN A. GRANDIA 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	208600000X	Surgery Physician	35-06-1980	OH
2	208600000X	Surgery Physician	18530	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000901380	OTHER	MOUNTAIN STATE BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	000000211735	OTHER	ANTHEM BCBS

General Provider Information

NPI Number	:	1720032238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONN A. GRANDIA M.D.

Provider Business Mailing Address
First Line	:	PO BOX B
Second Line	:
City	:	FRAZIERS BOTTOM
State	:	WV
Zip	:	25082-0251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12075 JERRYS RUN RD
Second Line	:
City	:	APPLE GROVE
State	:	WV
Zip	:	25502
Country	:	US
Telephone Number	:	304-546-0854
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	10/31/2019

Similar Medicare Providers

1881755338 — DR. JEFFREY RONALD HAWK DO
Practice Location Address:

67 HEREFORD LANE
APPLE GROVE, WV
25502-9403

Practice Phone: 304-733-8750
Practice Fax: 304-908-6042

1306458187 — CARLA JEAN HUFF
Practice Location Address:

609 OAK LN
APPLE GROVE, WV
25502-7751

Practice Phone: 304-576-4377
Practice Fax:

1841863651 — SIERRA NICHOLE BAIRD
Practice Location Address:

537 GOLDEN LN
APPLE GROVE, WV
25502-9405

Practice Phone: 304-360-3489
Practice Fax:

1396409710 — BRIANNA STEVENS
Practice Location Address:

307 OAK LN
APPLE GROVE, WV
25502-9641

Practice Phone: 304-982-2744
Practice Fax:

1619683067 — MONTANA WAMSLEY N.P.
Practice Location Address:

26489 HUNTINGTON RD
APPLE GROVE, WV
25502-8008

Practice Phone: 304-675-5725
Practice Fax:

1396441002 — JENNIFER LYNN KIGGINS
Practice Location Address:

557 GOLDEN LN
APPLE GROVE, WV
25502-9405

Practice Phone: 304-733-1094
Practice Fax:

Directions to “ RONN A. GRANDIA 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.