MARY MEAGHAN GRANGER (NPI# 1558473017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558473017 |
| Entity Type | Individual |
| Full Name | MARY MEAGHAN GRANGER |
| Credential | MD |
| Practice Address |
1500 Cooper St Fort Worth TX 76104-2710 |
| Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
| Practice Telephone | 6828854007 |
| Practice Fax Number | 6828853914 |
| Mailing Telephone | 6828851855 |
| Mailing Fax Number | 6828857347 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
L1870 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | FIRSTHEALTH PIN | 2113909 | 01 |
| TX | AMERIGROUP PIN | 10026862 | 01 |
| TX | 145075105 | 05 | |
| TX | FIRSTCARE PIN | 129416100 | 01 |
| TX | AETNA PIN | 7597316 | 01 |
| TX | CIGNA PIN | 0536387 | 01 |
| TX | 137345810 | 05 | |
| TX | 145075107 | 05 | |
| GRP NPI NUMBER | 1750369203 | 01 | |
| TX | BCBSTX IND PIN | 8F0031 | 01 |
| TX | UHC PIN | 2106396 | 01 |
| TX | BCBSTX GRP PIN | 00U87Z | 01 |
| TX | SUPERIOR PIN | 124206 | 01 |
| TX | 140442852 | 05 |
| Street Address |
1500 COOPER ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747653 | Luciana Rochetti | Physician Assistant | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2005-08-15 |
| 1821696493 | Leekelli Kennedy | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-10-15 |
| 1871109124 | Caitlyn R Praytor | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-09-22 |
| 1497389126 | Chelsea Barrow | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2020-03-03 |
| 1386281871 | Emily Susan Larkin | Nurse Practitioner | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-12-04 |
| 1508416629 | Christa Standefer | Family Medicine | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1972153112 | Alexis Courtney | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-09-19 |
| 1366099376 | Haley Tullos | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-23 |
| 1538716139 | Amanda Rae Macdonald | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-08-20 |
| 1730731498 | Erin Walkley | Dietitian, Registered | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2019-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871804823 | Sibo Zhao | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2010-06-24 |
| 1407002918 | Kelly L Vallance | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-08-15 |
| 1346409059 | Lauren J Akers | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-06-06 |
| 1275705519 | Ashraf Mohamed | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2008-03-27 |
| 1821282484 | Clarissa E Johnson | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2007-08-28 |
| 1205925112 | Marcela D Torres | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-11 |
| 1760575849 | Richard P Howrey | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1184717803 | Joann M Sanders | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-02 |
| 1134224876 | Jeffrey C Murray | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-09-14 |
| 1669581591 | Gretchen M Eames | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-08-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MARY MEAGHAN GRANGER.
| 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.