GRANVILLE HEALTH SYSTEM (NPI# 1457526907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457526907 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH SYSTEM |
| Other Organization Name | GRANVILLE SPECIALTY CLINIC |
| Practice Address |
103 Professional Park Ste C Oxford NC 27565-2581 |
| 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 | 2008-04-25 |
| 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 |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8907705 | 05 | |
| NC | BCBS | 07705 | 01 |
| Other Name | Type Code |
|---|---|
| GRANVILLE SPECIALTY CLINIC | 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 |
| 1093974404 | Granville Health System | Anesthesiology | 1010 College St, Oxford, NC 27565-2507 | 2008-06-02 |
| 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 |
103 PROFESSIONAL PARK STE C |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760586150 | Rafael E Negron-medina | Orthopaedic Surgery | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2006-09-07 |
| 1215281936 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2012-11-02 |
| 1588952758 | Private Diagnostic Clinic, Pllc | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2011-07-21 |
| 1619189057 | Richard Joseph Pacca | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2007-05-06 |
| 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 | 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 |
|---|---|---|---|---|
| 1427406362 | Andrew Clark Whittington | Internal Medicine | 81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465 | 2016-06-01 |
| 1487918900 | Seger Stacy Morris | Internal Medicine | 100 Baptist Memorial Cir Ste 200, Oxford, MS 38655-4476 | 2012-06-28 |
| 1184985244 | Brett Thomas Person | Internal Medicine | 1000 University Ave, House Number 5, Oxford, MS 38655-3966 | 2012-06-06 |
| 1124209986 | Margaret Swain-gray, M.d. | Internal Medicine | 2222 Old Baltimore Pike, Oxford, PA 19363 | 2007-11-21 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1790908721 | Sollage Pain Solutions of Fl | Internal Medicine | 1922 Mount Zion Rd, Oxford, GA 30054-2624 | 2007-04-10 |
| 1689769895 | Millennium Health Clinic | Internal Medicine | 1713 Hamric Dr E, Oxford, AL 36203-2015 | 2006-10-04 |
| 1801902309 | Milton D Hobbs | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2006-08-21 |
| 1174538508 | Shobha Jagadeesh | Internal Medicine | 144 Oxford Rd, Oxford, CT 06478-1982 | 2006-07-31 |
| 1215953963 | Steven A Herzig | Internal Medicine | 353 Niblick Ln, Oxford, CT 06478-3113 | 2006-07-14 |
| 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.