GRANVILLE HEALTH SYSTEM (NPI# 1093974404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093974404 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH SYSTEM |
| Other Organization Name | GRANVILLE PHYSICIANS GROUP |
| Practice Address |
1010 College St Oxford NC 27565-2507 |
| Mailing Address |
Po Box 947 Oxford NC 27565-0947 |
| Practice Telephone | 9196903000 |
| Practice Fax Number | 9196903457 |
| Mailing Telephone | 9196903000 |
| Mailing Fax Number | 9196903457 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | JOHN SNOW (CEO) |
| Authorized Official Telephone | 9196903000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 26406 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 07705 | 01 |
| NC | 5950159 | 05 |
| Other Name | Type Code |
|---|---|
| GRANVILLE PHYSICIANS GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518285493 | Granville Health System | Ambulance | 1040 College Street Ext, Oxford, NC 27565-1642 | 2010-05-17 |
| 1265441208 | Granville Health System | Skilled Nursing Facility | 1038 College St, Pob 1006, Oxford, NC 27565-2507 | 2006-08-07 |
| 1265430854 | Granville Health System | Clinic/Center | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2005-07-08 |
| 1053619072 | Granville Health System | Dietitian, Registered | 1010 College St, Oxford, NC 27565-2507 | 2011-03-01 |
| 1336302579 | Granville Health System | Custodial Care Facility | 1038 College St, Oxford, NC 27565-2507 | 2008-07-08 |
| 1457526907 | Granville Health System | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2008-04-25 |
| 1629252986 | Granville Health System | Hospitalist | 1010 College St, Oxford, NC 27565-2507 | 2007-12-21 |
| 1124154216 | Granville Health System | Respite Care | 1010 College St, Oxford, NC 27565-2507 | 2007-02-26 |
| 1275638512 | Granville Health System | Nurse Anesthetist, Certified Registered | 1010 College St, Oxford, NC 27565-2507 | 2006-09-13 |
| 1710089164 | Granville Health System | Psychiatry & Neurology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2006-09-05 |
| Street Address |
1010 COLLEGE ST |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295714491 | Virginia S Fuller | Anesthesiology | 1010 College St, Anesthesia Dept, Oxford, NC 27565-2507 | 2006-01-16 |
| 1528628542 | Candice Ryan | Nurse Practitioner | 1010 College St, Oxford, NC 27565-2507 | 2019-06-20 |
| 1942761549 | Ann Thompson | Registered Nurse | 1010 College St, Oxford, NC 27565-2507 | 2019-03-27 |
| 1285118802 | Perioperative Specialists of North Carolina | Anesthesiology | 1010 College St, Oxford, NC 27565-2507 | 2018-09-19 |
| 1487156303 | April Keith | Nurse Practitioner | 1010 College St, Oxford, NC 27565-2507 | 2018-03-07 |
| 1467953000 | Monica Jeanne Boyer | Specialist/Technologist | 1010 College St, Oxford, NC 27565-2507 | 2018-02-27 |
| 1245742246 | Daniel Reilly | Physical Therapist | 1010 College St, Oxford, NC 27565-2507 | 2017-10-30 |
| 1649656729 | Rachelle Turner Brogden | Registered Nurse | 1010 College St, Oxford, NC 27565-2507 | 2015-07-30 |
| 1477998664 | William Blake Pemberton | Emergency Medicine | 1010 College St, Oxford, NC 27565-2507 | 2013-05-02 |
| 1972842839 | Wake Emergency Physicians Pa | Emergency Medicine | 1010 College St, Oxford, NC 27565 | 2013-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417309774 | North Mississippi Anesthesia Consultants Pllc | Anesthesiology | 641 N Lamar Blvd, Oxford, MS 38655-3235 | 2016-07-11 |
| 1295714491 | Virginia S Fuller | Anesthesiology | 1010 College St, Anesthesia Dept, Oxford, NC 27565-2507 | 2006-01-16 |
| 1285118802 | Perioperative Specialists of North Carolina | Anesthesiology | 1010 College St, Oxford, NC 27565-2507 | 2018-09-19 |
| 1174904239 | Oxford Vein Center Pllc | Anesthesiology | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 | 2015-06-15 |
| 1881815074 | Christine Waldrop | Anesthesiology | 300 Enterprise Dr, Suite B, Oxford, MS 38655-2762 | 2007-05-02 |
| 1417053695 | Mark A Welsh | Anesthesiology | 1010 College St, Department of Anesthesia Gmc, Oxford, NC 27565-2507 | 2006-09-15 |
| 1801814702 | Virginia S Fuller Md LLC | Anesthesiology | 1010 College St, Anesthesia Dept @ Granville Medical Center, Oxford, NC 27565-2507 | 2006-07-18 |
| 1841230844 | John Spotswood Burwell | Anesthesiology | 1440 Highway Dr, Oxford, AL 36203-1951 | 2006-06-07 |
| 1790731933 | Michael Morrison | Anesthesiology | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2006-05-26 |
| 1215983457 | Gary Hunter | Anesthesiology | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2006-05-26 |
| Find all providers in OXFORD | ||||
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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.