JOHN G GRANTHAM (NPI# 1992789614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992789614 |
| Entity Type | Individual |
| Full Name | JOHN G GRANTHAM |
| Credential | M.D. |
| Practice Address |
2750 Broadway St Boulder CO 80304-3573 |
| Practice Telephone | 3034403000 |
| Mailing Telephone | 3034403000 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
26497 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386198 | John Carlton Grantham | Pharmacist | 4530 N Shea Pkwy, Corpus Christi, TX 78413-3327 | 2017-02-28 |
| 1760832455 | John Thomas Grantham | Emergency Medicine | 376 W 10th Ave, 750 Prior Hall, Columbus, OH 43210-1280 | 2016-06-14 |
| 1548355415 | John David Grantham | Physical Therapist | 2120 Highland Ave, Knoxville, TN 37916 | 2006-10-04 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1013551852 | Reform Health & Rehab, LLC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-11-05 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114714 | Clinical Radiologists, S.c. | Radiology | 295 Fox Dr, Boulder, CO 80303-3529 | 2014-08-06 |
| 1447507645 | Tanya Tivorsak Md PC | Radiology | 2425 Canyon Blvd Ste 150, Boulder, CO 80302-6736 | 2012-08-07 |
| 1073883153 | Cher, LLC | Radiology | 2425 Canyon Blvd, #150, Boulder, CO 80302-6743 | 2012-01-06 |
| 1487803383 | Boulder Community Health | Radiology | 6685 Gunpark Drive East, Suite 110, Boulder, CO 80301-0000 | 2008-09-16 |
| 1053496687 | Francis Ignatius Donahue | Radiology | 770 12th St, Boulder, CO 80302-7519 | 2006-10-25 |
| 1225137102 | Dai Thi Hoang | Radiology | 4919 10th St, Boulder, CO 80304-4354 | 2006-09-21 |
| 1942293485 | Jie Mao | Radiology | 1100 Balsam Ave, Radiology, Boulder, CO 80304-3404 | 2005-08-30 |
| 1295054047 | Natalia Gaulke | Radiology | 1333 Iris Ave, Boulder, CO 80304-2226 | 2010-05-19 |
| 1396867222 | Nicholas Wendell Wickersham | Radiology | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2007-04-03 |
| 1891756813 | Boulder Radiologists Inc P C | Radiology | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2006-03-29 |
| Find all providers in BOULDER | ||||
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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.