LISA M. PORTER-GRENN MD – NPI #1457361792
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LISA PORTER-GRENN is a radiologist located in MADISON HEIGHTS, MI. NPPES has assigned the NPI number 1457361792 to LISA PORTER-GRENN on August 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name LISA M GRENN. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA PORTER-GRENN below.

NPI Profile for
LISA M. PORTER-GRENN

NPI Number
1457361792
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA M. PORTER-GRENN
Other Name: LISA M GRENN
Credentials
MD
Primary location
27379 DEQUINDRE
MADISON HEIGHTS, MI 48071
Phone: (248) 398-4488 Fax: (248) 398-4995
Mailing address
735 FAIRFAX ST
BIRMINGHAM, MI 48009
Phone: (248) 647-5774 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for LISA PORTER-GRENN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI3349763
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301407005

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.