DR. JOHN T GRANAGHAN JR. (NPI# 1083676787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083676787 |
| Entity Type | Individual |
| Full Name | DR. JOHN T GRANAGHAN JR. |
| Credential | MD |
| Practice Address |
4235 Southwest Blvd San Angelo TX 76904-5635 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3256581511 |
| Practice Fax Number | 3254812166 |
| Mailing Telephone | 3256581511 |
| Mailing Fax Number | 3254812166 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E8518 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | E8518 | 01 |
| TX | 102667603 | 05 | |
| TX | BLUE CROSS | 8P1401 | 01 |
| Street Address |
4235 SOUTHWEST BLVD |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082843 | Roberta V. Hinshaw | Internal Medicine | 4235 Southwest Blvd, San Angelo, TX 76904-5635 | 2005-09-06 |
| 1669651964 | Angela D Wilke | Nurse Practitioner | 4235 Southwest Blvd, San Angelo, TX 76904-5635 | 2007-11-02 |
| 1518052364 | James R White | Family Medicine | 4235 Southwest Blvd, San Angelo, TX 76904-5635 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124147723 | West Loop Medical Clinic Inc | Internal Medicine | 2531 Loop 306, San Angelo, TX 76904-7629 | 2007-03-28 |
| 1710915822 | Stephen Harkness Smith | Internal Medicine | 3180 Executive Dr, Suite 105, San Angelo, TX 76904-6837 | 2006-06-29 |
| 1194787309 | Walter Hewell | Internal Medicine | 4141 College Hills Blvd, San Angelo, TX 76904-6506 | 2006-04-04 |
| 1023081411 | David R Delaplane | Internal Medicine | 3350 Executive Dr Ste 108, San Angelo, TX 76904-6878 | 2006-02-08 |
| 1821082843 | Roberta V. Hinshaw | Internal Medicine | 4235 Southwest Blvd, San Angelo, TX 76904-5635 | 2005-09-06 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1700231248 | Kyle Mills | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-05-03 |
| 1710341508 | Anthony Mcdonald | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-08 |
| 1972966000 | Yotham Fraenkel | Internal Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2016-04-05 |
| 1669852273 | Aviral Singh | Internal Medicine | 120 E Harris Ave, San Angelo, TX 76903-5904 | 2015-06-09 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.