GRANVILLE HEALTH INC (NPI# 1043766686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043766686 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH INC |
| Other Organization Name | GRANVILLE ENT |
| Practice Address |
102 Professional Park Dr. Suite C Oxford NC 27565-2501 |
| Mailing Address |
Po Box 986 Oxford NC 27565 |
| Practice Telephone | 9196920003 |
| Mailing Telephone | 9196903000 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | JOHN SNOW (CEO) |
| Authorized Official Telephone | 9196903000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Granville ENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372500 | Granville Health Inc | Surgery | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2006-01-31 |
| 1477950616 | Granville Health Inc | Obstetrics & Gynecology | 102 Professional Park Ste A, Oxford, NC 27565-2554 | 2014-12-03 |
| 1386954535 | Granville Health Inc | Internal Medicine | 1010 College Street, Oxford, NC 27565-0947 | 2010-10-20 |
| 1255565313 | Granville Health Inc | Clinic/Center | 100 Durham Street, Stovall, NC 27582 | 2009-05-05 |
| 1336380708 | Granville Health Inc | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2009-03-16 |
| 1700858883 | Granville Health Inc | Emergency Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Granville Health Inc. | 111 Gilliam St, Oxford, NC 27565 |
| Street Address |
102 PROFESSIONAL PARK DR. SUITE C |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689757007 | Coastal Carolina Ent Do Pa | Otolaryngology | 302 Liberty St, Whiteville, NC 28472-3714 | 2006-10-21 |
| 1417052986 | Center for Facial Plastic and Laser Surgery | Otolaryngology | 11220 Elm Lane, Suite 101, Charlotte, NC 28277 | 2006-09-13 |
| 1366484958 | Genesis Ent & Plastic Surgery, Pllc | Otolaryngology | 14835 John J Delaney Dr, Suite 210, Charlotte, NC 28277-2738 | 2006-06-11 |
| 1831153402 | Eastern Carolina Ear Nose and Throat Associates Pa | Otolaryngology | 927 North Bright Leaf Blvd, Smithfield, NC 27577 | 2006-04-12 |
| 1861464422 | Nitzan Daniel Catz | Otolaryngology | 927 N Brightleaf Blvd, Smithfield, NC 27577 | 2006-02-07 |
| 1710974332 | Jeffrey Paul Campbell | Otolaryngology | 730 Oakridge Blvd, Suite C, Lumberton, NC 28358-2324 | 2005-09-29 |
| 1427680180 | Triangle Facial Plastic Surgery, Pllc | Otolaryngology | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| 1417404344 | Charlotte Facial Plastic Surgery | Otolaryngology | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 | 2016-09-08 |
| 1528339967 | Moses Cone Affiliated Physicians, Inc. | Otolaryngology | 1200 N Elm St, Greensboro, NC 27401-1004 | 2012-01-17 |
| 1790804813 | Nicholas Daniel Lukacs | Otolaryngology | 1107 Reynolds St, Monroe, NC 28112-4351 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
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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.