KORBYN R. GRANADO-BOLTON (NPI# 1861026387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861026387 |
| Entity Type | Individual |
| Full Name | KORBYN R. GRANADO-BOLTON |
| Credential | PA-C |
| Practice Address |
1111 6th Ave Ste B1 Des Moines IA 50314-2610 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5153580100 |
| Practice Fax Number | 5153580109 |
| Mailing Telephone | 5153580100 |
| Mailing Fax Number | 5153580109 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 099754 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 6TH AVE STE B1 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952631897 | Sarah Jean Tartar | Clinical Neuropsychologist | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2009-12-27 |
| 1538784905 | Courtney Scott Schooley | Nurse Practitioner | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2020-06-11 |
| 1194364307 | Jeffrey Hadwiger | Nurse Practitioner | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2020-01-06 |
| 1336792761 | Mercy Clinics, Inc | Clinical Neuropsychologist | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2019-07-24 |
| 1629637996 | Jeremy Macvarish | Physician Assistant | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2019-06-11 |
| 1689232126 | Matthew Lynn Hill | Physician Assistant | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2019-05-30 |
| 1891210183 | David Kahn Roberts | Physician Assistant | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2017-08-08 |
| 1164762555 | Mercy Clinics, Inc | Neurological Surgery | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2013-02-21 |
| 1982948485 | Danielle R Horgen | Physician Assistant | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2012-11-21 |
| 1003122805 | David B Paul | Counselor | 1111 6th Ave Ste B1, Des Moines, IA 50314-2610 | 2010-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346808367 | Haley Lynne Galligan | Physician Assistant | 1111 6th Ave, East Tower, Suite B1, Des Moines, IA 50314-2610 | 2019-06-04 |
| 1922666452 | Mckenna Elizabeth Zimmerman | Physician Assistant | 1301 Penn Ave Ste 213, Des Moines, IA 50316-2365 | 2019-05-30 |
| 1710463708 | Mary Jane Mills | Physician Assistant | 1344 Park Ave, Des Moines, IA 50315-7574 | 2018-07-13 |
| 1972989721 | Jayson Gesulga | Physician Assistant | 600 E Court Ave, Ste 200, Des Moines, IA 50309-2058 | 2015-08-04 |
| 1649525817 | Kelly N Gann | Physician Assistant | 3200 Grand Ave Fl 6, Des Moines, IA 50312-4104 | 2012-07-13 |
| 1518275247 | Jason Richard Tentinger | Physician Assistant | 3850 Merle Hay Rd, Suite 500, Des Moines, IA 50310-1330 | 2010-09-15 |
| 1750618401 | Jasmina Salcinovic-spahic | Physician Assistant | 200 Army Post Rd., Ste 26, Des Moines, IA 50315-6203 | 2009-11-17 |
| 1871724161 | Tonya Norvell Diehn | Physician Assistant | 3509 E 29th Street, Des Moines, IA 50317 | 2009-08-04 |
| 1174613996 | Deborah Maria Giddings | Physician Assistant | 1511 Thompson Ave, Des Moines, IA 50316-1625 | 2006-10-13 |
| 1649210774 | Paul A Snowdy | Physician Assistant | 6601 Sw 9th St, Des Moines, IA 50315-6138 | 2006-06-07 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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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.