CARLOS JOSE ANCIANO GRANADILLO (NPI# 1154563906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154563906 |
| Entity Type | Individual |
| Full Name | CARLOS JOSE ANCIANO GRANADILLO |
| Credential | M.D. |
| Practice Address |
115 Heart Dr East Carolina Heart Institute At Ecu Greenville NC 27834-8944 |
| Mailing Address |
Po Box 751069 Ecu Physicians Charlotte NC 28275-1069 |
| Practice Telephone | 2527444400 |
| Practice Fax Number | 2527443987 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2014-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2013-01958 | NC | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2013-01958 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1154563906 | 05 | |
| NC | BCBS NC | 184R0 | 01 |
| Street Address |
115 HEART DR EAST CAROLINA HEART INSTITUTE AT ECU |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-8944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
| 1386255883 | Kari Lynn Lewicki | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2020-08-10 |
| 1144864885 | Ryan Christopher Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2019-11-06 |
| 1922575091 | Katisha Elzatie Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2018-10-26 |
| 1356852933 | Joanna Barlow Bowman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2017-10-23 |
| 1366858086 | Leslie Wiley Nifong | Specialist | 115 Heart Dr, East Carolina Heart Institute, Greenville, NC 27834-8982 | 2014-07-02 |
| 1679998785 | Lacey Freeman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834 | 2014-02-26 |
| 1740603018 | Koh Takeuchi | Specialist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2014-01-22 |
| 1306271739 | Amanda Lee Whited | Psychologist | 115 Heart Dr, Ecu Physicians Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2013-09-04 |
| 1699112771 | Cassandra Marie Garland | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1346241361 | Alfredo F. Gurmendi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4211 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 | 2005-08-02 |
| 1518964535 | Michael Cohron Trotter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 Hospital St, Greenville, MS 38703-3225 | 2005-07-05 |
| 1295209260 | Dustin Turner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-01-14 |
| 1407111081 | Hesham Z. Saleh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute- Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2012-07-10 |
| 1982987681 | Tai-leung Daniel Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr, East Carolina Heart Institute @ Ecu, Greenville, NC 27834-8944 | 2011-09-20 |
| 1265697080 | Joseph R. Elbeery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Ecu Physicians: Cardiothoracic Surgery, Greenville, NC 27834-4300 | 2008-07-21 |
| 1740447374 | Louis-mathieu Stevens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Moye Blvd, Greenville, NC 27834 | 2008-05-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on CARLOS JOSE ANCIANO GRANADILLO.
| 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.