MICHAEL GRANIERI (NPI# 1992095541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992095541 |
| Entity Type | Individual |
| Full Name | MICHAEL GRANIERI |
| Credential | M.D. |
| Practice Address |
1325 Wolf Park Dr Ste 102 Germantown TN 38138-1759 |
| Mailing Address |
1325 Wolf Park Dr Ste 103 Germantown TN 38138-1759 |
| Practice Telephone | 9012523400 |
| Practice Fax Number | 9017634305 |
| Mailing Telephone | 8472241260 |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2018-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 25565 | MS | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 56751 | TN | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 172976 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 E 32nd St Fl 2, New York, NY 100166058 | 8472241260 | |
| 423 E 23rd St, New York, NY 100105011 | 2126867500 |
| Street Address |
1325 WOLF PARK DR STE 102 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139182 | Michael David Williams | Nurse Practitioner | 1325 Wolf Park Dr Ste 102, Germantown, TN 38138-1759 | 2020-09-16 |
| 1710309877 | Roselyn Delaney Magitt | Nurse Practitioner | 1325 Wolf Park Dr Ste 102, Germantown, TN 38138-1759 | 2014-01-09 |
| 1174864946 | Conrad Pearson Clinic | Clinic/Center | 1325 Wolf Park Dr Ste 102, Germantown, TN 38138-1759 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104149764 | William Wingrey Mayers | Urology | 7231 Plantation Circle, Germantown, TN 38138 | 2010-03-10 |
| 1679531578 | Richard Mcquiston Pearson | Urology | 7512 Second Street, Germantown, TN 38138 | 2006-05-02 |
| 1124085634 | Paul Richard Eber | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | 2006-04-27 |
| 1285993188 | The Shappley Clinic, Pllc | Urology | 7705 Poplar Ave, Suite 310b, Germantown, TN 38138-3930 | 2012-05-11 |
| 1659544385 | Adam Frederick Stewart | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1759 | 2008-04-02 |
| 1588733992 | William Vance Shappley IIi | Urology | 7705 Poplar Avenue, Suite 310b The Shappley Clinic, Germantown, TN 38138 | 2006-11-07 |
| 1396852216 | Howard Bernhard Hasen Jr. | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | 2006-08-24 |
| 1992758882 | The Conrad Pearson Clinic, PC | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | 2006-05-19 |
| 1710945522 | Thomas Berkley Shelton | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | 2006-05-02 |
| 1962469023 | John Robert Adams Jr. | Urology | 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | 2006-05-01 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.