Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Grant D Roberts, PA

Individual provider Physician Assistant · NPI 1336111483

Mr. Grant D Roberts, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2001, 25 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
25
Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3110 SW 89th St Ste 102
Oklahoma City, OK 73159-7919
Phone: (405) 703-4950
Fax: (405) 703-4955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1204 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 1204 (OK)

Record details

NPI number1336111483
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJuly 24, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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