DR. JUAN LUIS GRANADOS (NPI# 1730199704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730199704 |
| Entity Type | Individual |
| Full Name | DR. JUAN LUIS GRANADOS |
| Credential | M.D. |
| Practice Address |
3024 New Bern Ave Suite 306 - Ob/gyn Raleigh NC 27610-1247 |
| Mailing Address |
3024 New Bern Ave Suite 300 Raleigh NC 27610-1247 |
| Practice Telephone | 9193508535 |
| Practice Fax Number | 9193508310 |
| Mailing Telephone | 9193508228 |
| Mailing Fax Number | 9193507976 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 30912 | NC | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
30912 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8936704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134460314 | Juan Carlos Granados | Specialist/Technologist, Other | 3409 Hagler Rd, Cleburne, TX 76033-8430 | 2013-03-12 |
| Street Address |
3024 NEW BERN AVE SUITE 306 - OB/GYN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612492 | Rex Hospital Inc | Obstetrics & Gynecology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-02 |
| 1518521905 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
| 1336550375 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770839458 | Novant Medical Group, Inc | Obstetrics & Gynecology | 19475 Old Jetton Rd, Cornelius, NC 28031-6591 | 2012-07-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1548478019 | Elizabeth Bates Ausbeck | Obstetrics & Gynecology | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2007-05-18 |
| 1609926294 | Atlantic Fetal Medicine Pa | Obstetrics & Gynecology | 411 Western Blvd Ste C, Jacksonville, NC 28546-6822 | 2007-01-12 |
| 1124189600 | Jacqueline H Grant | Obstetrics & Gynecology | Unc Hospitals and Clinics 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-12 |
| 1245314301 | Andra H. James | Obstetrics & Gynecology | 2608 Erwin Rd Ste 200, Durham, NC 27705-4597 | 2006-10-25 |
| 1093802191 | Nancy Chescheir | Obstetrics & Gynecology | Unc School of Medicine Dept of Ob Gyn, Cb 7516 Old Clinic Building 3010, Chapel Hill, NC 27599-0001 | 2006-10-09 |
| 1801904123 | Neeta L Vora | Obstetrics & Gynecology | Unc Department of Ob Gyn Division of Mfm, 3010 Old Clinic Bldg./cb# 7516, Chapel Hill, NC 27599-0001 | 2006-08-27 |
| 1700991296 | William Harold Goodnight IIi IIi | Obstetrics & Gynecology | 3010 Old Clinic Building, Campus Box 7516, Chapel Hill, NC 27599-0001 | 2006-08-21 |
| 1477533115 | Heather Mertz | Obstetrics & Gynecology | 10660 Park Rd, Ste 4300, Charlotte, NC 28210-8413 | 2006-01-19 |
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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.