GRANVILLE HEALTH INC (NPI# 1336380708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336380708 |
| Entity Type | Organization |
| Organization Name | GRANVILLE HEALTH INC |
| Other Organization Name | GRANVILLE UROLOGY ASSOCIATES |
| Practice Address |
102 Professional Park Suite C Oxford NC 27565-2501 |
| Mailing Address |
Po Box 986 Oxford NC 27565-0986 |
| Practice Telephone | 9196900435 |
| Practice Fax Number | 2524922028 |
| Mailing Telephone | 9196900435 |
| Mailing Fax Number | 2524922028 |
| Enumeration Date | 2009-03-16 |
| 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 | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911739 | 05 |
| Other Name | Type Code |
|---|---|
| Granville Urology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766686 | Granville Health Inc | Otolaryngology | 102 Professional Park Dr., Suite C, Oxford, NC 27565-2501 | 2016-09-01 |
| 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 |
| 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 SUITE C |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372500 | Granville Health Inc | Surgery | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2006-01-31 |
| 1730639394 | Granville Health Inc. | Otolaryngology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2016-10-07 |
| 1518265164 | Unc Physicians Network, LLC | Internal Medicine | 102 Professional Park, Suite #a, Oxford, NC 27565-2501 | 2011-03-07 |
| 1124337571 | Phyllis C Averett | Nurse Practitioner | 102 Professional Park, #a, Oxford, NC 27565-2501 | 2010-10-04 |
| 1801107735 | Granville Health Inc. | Internal Medicine | 102 Professional Park, Ste C, Oxford, NC 27565-2501 | 2010-06-25 |
| 1790973915 | Joseph Charles Zola Jr. | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2007-10-12 |
| 1114111770 | Megan E Andrews | Nurse Practitioner | 102 Professional Park, #a, Oxford, NC 27565-2501 | 2007-08-28 |
| 1437186525 | Evelyn L Parham | Nurse Practitioner | 102 Professional Park, #a, Oxford, NC 27565-2501 | 2006-06-26 |
| 1396708897 | Louis Allen Kindman | Internal Medicine | 102 Professional Park, #a, Oxford, NC 27565-2501 | 2006-04-07 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1023447935 | Advanced Urology Institute, LLC | Urology | 12109 County Road 103, Oxford, FL 34484-2951 | 2013-11-01 |
| 1598921892 | Brent Montague Hardin | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2008-08-06 |
| 1508032517 | Urology of Oxford | Urology | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2008-04-30 |
| 1053599696 | Central Florida Urology Specialists | Urology | 12109 Cr 103, Oxford, FL 34484-2967 | 2008-02-06 |
| 1790973915 | Joseph Charles Zola Jr. | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2007-10-12 |
| 1770771743 | Joshua Grant Griffin | Urology | 2168 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-04 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 2007-08-25 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| Find all providers in OXFORD | ||||
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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.