MR. GREGORY CHARLES GRAHEK NP-BC NPI 1558554188

NPI Information

NPI: 1558554188
Provider Name: MR. GREGORY CHARLES GRAHEK, NP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1925 E ORMAN AVE STE A535
PUEBLO, CO
ZIP 81004
Phone: (719) 564-0450
Get Directions

MR. Gregory Charles Grahek, NP-BC is an acute care nurse practitioner in Pueblo, CO. MR. Gregory Charles Grahek, NP-BC NPI is 1558554188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1925 E ORMAN AVE STE A535
PUEBLO, CO
ZIP 81004-559
Phone: (719) 564-0450
Fax: (719) 564-1659

The NPI 1558554188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5441	COLORADO	No
2	363LA2100X	Nurse Practitioner	Acute Care	173720-5414	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	333409528	MEDICAID	COLORADO
2	RXN 08-123	OTHER	COLORADO	STATE RXN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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