MARC A GRANSON (NPI# 1407890817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407890817 |
Entity Type | Individual |
Full Name | MARC A GRANSON |
Credential | MD |
Practice Address |
801 Ostrum St Bethlehem PA 18015-1000 |
Practice Telephone | 6109544646 |
Practice Fax Number | 6109546450 |
Mailing Telephone | 6109544646 |
Mailing Fax Number | 6109546450 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2014-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD027101E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 00940604 | 05 |
Street Address |
801 OSTRUM ST |
City | BETHLEHEM |
State | PA |
Zip Code | 18015-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
1356942635 | Christopher Vila | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-11-04 |
1114527801 | Alexandria Lynn Strouse | Registered Nurse | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-30 |
1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
1750989745 | Amber Nicole Saylor | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-13 |
1427656586 | Sarah Anne Blum | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
1972101061 | Stephen Druckenmiller | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
1780281014 | Ryan Anthony Mathiesen | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-09 |
1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528385606 | Lynne M Doctor | Surgery | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2010-04-28 |
1598900177 | Sharvil U Sheth | Surgery | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2008-12-10 |
1043264161 | Bethlehem Surgical Center PC | Surgery | 701 Ostrum St, Ste 504, Bethlehem, PA 18015-1153 | 2006-05-22 |
1881646859 | Progressive Physician Associates, Inc. | Surgery | 95 Highland Ave, Suite 130, Bethlehem, PA 18017-9424 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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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.