DR. MICHAEL J. GRANUM (NPI# 1952367039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952367039 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. GRANUM |
| Credential | M.D. |
| Practice Address |
940 E 3rd St #205 Casper WY 82601-3237 |
| Practice Telephone | 3075774260 |
| Practice Fax Number | 3075774263 |
| Mailing Telephone | 3075774260 |
| Mailing Fax Number | 3075774263 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3007A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
940 E 3RD ST #205 |
| City | CASPER |
| State | WY |
| Zip Code | 82601-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566200 | Wyoming Osteoporosis Center LLC | Clinic/Center | 940 E 3rd St, Ste. 106, Casper, WY 82601-3237 | 2005-11-29 |
| 1215335179 | Casper General Surgery, LLC | Surgery | 940 E 3rd St, Suite 215, Casper, WY 82601-3237 | 2014-12-09 |
| 1932455409 | Lauren Cahill | Counselor | 940 E 3rd St, Suite 212, Casper, WY 82601-3237 | 2012-08-01 |
| 1386915528 | Kenneth E. Bell | Psychologist | 940 E 3rd St, Suite 212, Casper, WY 82601-3237 | 2012-01-19 |
| 1700176518 | James Albert Johnson | Counselor | 940 E 3rd St, Suite 212, Casper, WY 82601-3237 | 2011-04-13 |
| 1649573221 | Burke & Burke, Md, PC | Family Medicine | 940 E 3rd St, Suite # 202, Casper, WY 82601-3237 | 2010-12-21 |
| 1528360385 | Regional West Medical Center | Clinical Medical Laboratory | 940 E 3rd St, Suite 103, Casper, WY 82601-3200 | 2010-11-30 |
| 1861704702 | Janine Louise Glover | Nurse Practitioner | 940 E 3rd St, Suite 215, Casper, WY 82601-3237 | 2010-07-08 |
| 1083943252 | Laboratory Corporation of America | Clinical Medical Laboratory | 940 E 3rd St, Ste 101, Casper, WY 82601-3237 | 2009-12-16 |
| 1023289485 | Abby Bowen-rodda Ph.d., PC | Psychologist | 940 E 3rd St, Ste 107, Casper, WY 82601-3237 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730324872 | Wyoming Health Medical Group, LLC | Pediatrics | 167 S Conwell St, Ste 3, Casper, WY 82601-2749 | 2008-12-03 |
| 1316072788 | Lucase H Wang | Pediatrics | 1300 E A St Ste 206, Casper, WY 82601-2252 | 2007-02-23 |
| 1548344120 | Harlen D Myers | Pediatrics | 940 East 3rd St, 108, Casper, WY 82604-3200 | 2006-10-24 |
| 1982709564 | David Arnold Ellbogen | Pediatrics | 1720 S Poplar St, Suite 1, Casper, WY 82601-4557 | 2006-09-14 |
| 1326037151 | Shelley C Springer | Pediatrics | 940 E 3rd St Ste 205, Casper, WY 82601 | 2005-10-14 |
| 1598393332 | Children 1st Pediatrics, LLC | Pediatrics | 940 E 3rd St Ste 203, Casper, WY 82601-3251 | 2020-03-28 |
| 1851923403 | Robert A Vigneri | Pediatrics | 940 E 3rd St Ste 203, Casper, WY 82601-3251 | 2020-02-11 |
| 1508249947 | Richard D. Green, Md, PC | Pediatrics | 940 E 3rd St Ste 102, Casper, WY 82601-3200 | 2015-07-02 |
| 1114333127 | Casper Children's Center, LLC | Pediatrics | 940 E 3rd St Ste 205, Casper, WY 82601-3251 | 2014-07-10 |
| 1205121209 | Casper Pediatrics | Pediatrics | 1300 E A St, Suite 206, Casper, WY 82601-2260 | 2011-06-17 |
| Find all providers in CASPER | ||||
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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.