DR. ALFRED GRANSON M.D. LLC NPI 1124128491

NPI Information

NPI: 1124128491
Provider Name: DR. ALFRED GRANSON, M.D., LLC
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
70 MADISON RD
MANSFIELD, OH
ZIP 44905
Phone: (419) 589-9700
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DR. Alfred Granson, M.D., LLC is a specialist in Mansfield, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Alfred Granson, M.D., LLC NPI is 1124128491. 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:

70 MADISON RD
MANSFIELD, OH
ZIP 44905-831
Phone: (419) 589-9700
Fax: (419) 589-2731

The NPI 1124128491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/4/2011.

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	174400000X	Specialist		35072595G	OHIO	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	9387391	OTHER	OHIO	MEDICARE GROUP
2	G94600	MEDICARE UPIN	OHIO
3	$$$$$$$$$006	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
4	0878253	MEDICARE PIN	OHIO
5	000000142322	OTHER	OHIO	ANTHEM BC/BS OF OHIO
6	P00818354	OTHER	OHIO	RAILROAD MEDICARE GROUP
7	2136683	MEDICAID	OHIO
8	DQ1487	OTHER	OHIO	RAILROAD MEDICARE INDIVIDUAL

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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