MATTHEW GRANGER (NPI# 1750797064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750797064 |
Entity Type | Individual |
Full Name | MATTHEW GRANGER |
Practice Address |
800 E Broad St Columbus OH 43205-1015 |
Mailing Address |
473 W 12th Ave Ste 200 Columbus OH 43210-1252 |
Practice Telephone | 6142528300 |
Mailing Telephone | 6142937677 |
Enumeration Date | 2014-07-08 |
Last Update Date | 2019-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.15907-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207RA0002X | 15907CNP | OH |
Street Address |
800 E BROAD ST |
City | COLUMBUS |
State | OH |
Zip Code | 43205-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730114851 | Ohio Heart Group, Inc. | Internal Medicine | 800 E Broad St, Columbus, OH 43205-1015 | 2006-07-11 |
1972040277 | Nathanial Brown | Physician Assistant | 800 E Broad St, Columbus, OH 43205-1015 | 2017-01-24 |
1215474853 | Kelsey Jeanne Graf | Physician Assistant | 800 E Broad St, Columbus, OH 43205-1015 | 2017-01-20 |
1497201529 | Laura Marie Vuicich | Nurse Practitioner | 800 E Broad St, Columbus, OH 43205-1015 | 2016-08-29 |
1891199311 | Marie M. Koenig | Physician Assistant | 800 E Broad St, Columbus, OH 43205-1015 | 2014-10-13 |
1710322409 | Ohio Heart Group, Inc. | Internal Medicine | 800 E Broad St, Columbus, OH 43205-1015 | 2013-05-08 |
1144536822 | Kathryn Delgado Kort | Nurse Practitioner | 800 E Broad St, Columbus, OH 43205-1015 | 2010-08-19 |
1144403023 | Barry Jay Brownstein | Physician Assistant | 800 E Broad St, Columbus, OH 43205-1015 | 2007-12-13 |
1528192820 | Manmohan K Katapadi | Internal Medicine | 800 E Broad St, Columbus, OH 43205-1015 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
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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.