JONATHAN E. GERBODE-GRANT


Address: 385 Southbridge St, Auburn, MA 01501-2498
Phone: 5087211170

JONATHAN E. GERBODE-GRANT (NPI# 1780174086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780174086
Entity Type Individual
Full Name JONATHAN E. GERBODE-GRANT
Practice Address 385 Southbridge St
Auburn
MA 01501-2498
Mailing Address 5 Neponset St
Wot 2nd Fl, Ste C203
Worcester
MA 01606-2714
Practice Telephone 5087211170
Practice Fax Number 5088320859
Mailing Telephone 5087211170
Mailing Fax Number 5088320859
Enumeration Date 2018-05-14
Last Update Date 2019-03-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN2312745 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 385 SOUTHBRIDGE ST
City AUBURN
State MA
Zip Code 01501-2498

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356348395 Margaret M Kamin Nurse Practitioner 385 Southbridge St, Auburn, MA 01501-2498 2005-07-06
1821527565 Emiko Jean Nishino Physical Therapist 385 Southbridge St, Auburn, MA 01501-2498 2017-06-07
1881141802 Pratima Patil Nurse Practitioner 385 Southbridge St, Auburn, MA 01501-2498 2016-09-07
1922450477 Lien Do Physician Assistant 385 Southbridge St, Auburn, MA 01501-2498 2016-07-08
1013314780 Katharine Ann Farrell Social Worker 385 Southbridge St, Auburn, MA 01501-2498 2014-11-25
1750787743 James Slade Hearing Instrument Specialist 385 Southbridge St, Auburn, MA 01501-2498 2014-11-18
1093134264 Wendy Sue Osborn Dietitian, Registered 385 Southbridge St, Auburn, MA 01501-2498 2014-04-15
1609110477 Catherine Marie Mase Physical Therapist 385 Southbridge St, Auburn, MA 01501-2498 2012-11-19
1063765600 Reliant Medical Group, Inc Optometrist 385 Southbridge St, Auburn, MA 01501-2498 2012-10-19
1942553607 Quest Diagnostics Massachusetts LLC Clinical Medical Laboratory 385 Southbridge St, Auburn, MA 01501-2498 2012-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366075533 Pawlished Pet Services LLC Driver 81 Oxford St North, Auburn, MA 01501 2020-02-17
1417588633 Kaitlin Smith Behavioral Analyst 35 Midstate Drive, Auburn, MA 01501 2020-01-27
1558881011 Rahab Karue Behavioral Analyst 23 Midstate Drive Suite 214, Apex K Home Care, Auburn, MA 01501 2017-06-26
1578917688 Family Behavioral Health Inc Behavioral Analyst 482 Southbridge St Ste 374, Auburn, MA 01501 2016-04-15
1467861724 Katharine Budra Physical Therapist 1 Swanson Rd Ste 1, Auburn, MA 01501 2014-08-11
1124437793 Benjamin Tubo Dentist 824 Southbridge St Ste 200, Auburn, MA 01501 2014-08-08
1164857835 Kelley Bailey Social Worker 714b Southbridge St Ste 6, Auburn, MA 01501 2013-09-12
1023459450 Usman Javed Dentist 434 Souhtbridge St, Auburn, MA 01501 2013-07-15
1588919914 Caitlin Murphy Physical Therapist 1 Swanson Rd Ste 1c, Auburn, MA 01501 2012-07-23
1336406453 Michael J Cohn O.d. Pllc Optometrist 48 Auburn Street, Auburn, MA 01501 2012-04-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1568075190 Carey Webster Nurse Practitioner 11775 Education St Ste 210, Auburn, CA 95602-2453 2020-08-24
1043860299 Kimberly Danner Nurse Practitioner 507 Red Bud Ln, Auburn, IL 62615-9357 2019-09-18
1467001214 Lauren Elizabeth Sabo Nurse Practitioner 906 W North St, Auburn, IL 62615-1046 2019-09-04
1952876294 Modeline Jules Nurse Practitioner 125 3rd St Ne Ste 403, Auburn, WA 98002 2018-10-12
1063987162 Shadiyah S Tawwab Nurse Practitioner 1702 Catherine Ct Ste 1a, Auburn, AL 36830-5790 2018-10-04
1801370812 Catherine Molly Kohl Nurse Practitioner 1702 Catherine Ct Ste A, Auburn, AL 36830-5755 2018-09-17
1518443258 Kelly Elizabeth Cordon Nurse Practitioner 77 Nelson St Fl 3, Auburn, NY 13021-1944 2018-07-16
1750873329 Claire Wakulyaka Nurse Practitioner 39 Bryn Mawr Ave, Auburn, MA 01501-1636 2018-05-30
1467963710 Alissa Marie Dippolito Nurse Practitioner 77 Nelson St Ste 310, Auburn, NY 13021-1945 2017-10-13
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Competitor

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City AUBURN
Zip Code 01501

Improve Information

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Dataset Information

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.

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