JON GRADY (NPI# 1346227105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346227105 |
| Entity Type | Individual |
| Full Name | JON GRADY |
| Credential | PA-C |
| Practice Address |
262 Leroy George Dr Suite M Clyde NC 28721-7430 |
| Practice Telephone | 8284528378 |
| Practice Fax Number | 8284528326 |
| Mailing Telephone | 8284528378 |
| Mailing Fax Number | 8284528326 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
102852 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
262 LEROY GEORGE DR SUITE M |
| City | CLYDE |
| State | NC |
| Zip Code | 28721-7430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354078 | Luis Augusto Munoz | Pathology | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2005-05-27 |
| 1285164137 | Patrick Furr | Physical Therapist | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2017-06-14 |
| 1790228211 | Gregory John Ostler | Social Worker | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2016-12-01 |
| 1568918027 | Brandi Moziak | Physician Assistant | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2016-08-25 |
| 1922461128 | Sholabomi Oyewole-eletu | Internal Medicine | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2016-04-04 |
| 1801261102 | Monica Ridgway | General Acute Care Hospital | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2015-12-11 |
| 1043688823 | Justin Kirsch | Occupational Therapist | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2015-09-10 |
| 1730556705 | Brittany Ellenburg | Nurse Practitioner | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2015-08-26 |
| 1902291792 | Charles Kaighn Morlok | Family Medicine | 262 Leroy George Dr, Clyde, NC 28721 | 2015-03-30 |
| 1336542067 | Dlp Haywood Regional Medical Center LLC | Social Worker | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2014-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
| 1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
| 1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
| 1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
| 1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
| 1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
| 1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| Find all providers in zip 28721 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295763274 | Paulette Kathleen Grant | Physician Assistant | 112 Independence Way Ste 110, Clyde, OH 43410-9812 | 2006-06-29 |
| 1568918027 | Brandi Moziak | Physician Assistant | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2016-08-25 |
| 1992972947 | Melissa F Sommerich | Physician Assistant | 15 Facility Dr, Clyde, NC 28721-9438 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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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.