Jennifer R Granata (NPI# 1659665818, PAC ID# 0547431843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1659665818 |
| PAC ID by PECOS | 0547431843 |
| Professional Enrollment ID | I20110917000004 |
| Full Name | Jennifer R Granata |
| Organization Legal Name | MAINEHEALTH |
| Address |
10 Goodall Dr Suite 900 East Waterboro ME 04030-5233 |
| Phone Number | 2074907760 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517860588 |
| Number of Group Practice Members | 1115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200019 | SOUTHERN MAINE HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 | 2074907760 | MAINEHEALTH |
| 22 Bramhall St, Portland, ME 04102-3134 | MAINEHEALTH | |
| 655 Main St, Saco, ME 04072-1543 | 2072945959 | MAINEHEALTH |
| 25 A June St, Sanford, ME 04073-2642 | MAINEHEALTH |
| Organization Legal Name | MAINEHEALTH |
| Physicians | 929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Williams | Nurse Practitioner | Mainehealth | 79 Schooner St, Suite 1, Damariscotta, ME 04543-4051 |
| Leslie W Bray | Nurse Practitioner | Mainehealth | 2399 Atlantic Hwy, Lincolnville, ME 04849-5322 |
| Kathryn E Hassett | Clinical Social Worker | Mainehealth | 48 Gilman St, Portland, ME 04102-3004 |
| Robert A Toscano | Psychiatry | Mainehealth | 165 Lancaster St, Portland, ME 04101-2406 |
| Robert E Grondahl | Obstetrics/gynecology | Mainehealth | 16 Fahy St, Suite 108, Belfast, ME 04915-6029 |
| Kailee O D'angelo | Nurse Practitioner | Mainehealth | 13 Industrial Park Rd, Saco, ME 04072-1804 |
| Deena M Ryan | Nurse Practitioner | Mainehealth | 2 Livewell Dr, Kennebunk, ME 04043-6762 |
| Christian M Basque | Sports Medicine | Mainehealth | 46 Barra Rd, Biddeford, ME 04005-9461 |
| Peter Rubin | Hematology/oncology | Mainehealth | 26 W Cole Rd, 102 Smhc Cancer Care and Blood Disorders, Biddeford, ME 04005-9407 |
| James P Lepich | Nurse Practitioner | Mainehealth | 193 Main St, Norway, ME 04268-5645 |
| Street Address |
10 GOODALL DR SUITE 900 |
| City | EAST WATERBORO |
| State | ME |
| Zip | 04030-5233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anastasia R Norman | Family Medicine | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Seth A Brooker | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Amanda L Graber | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Kristen M Waitt | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Nichole M Reader | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Mark A Douglas | Emergency Medicine | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Jaclyn O Zubiate | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Carl J Morrison | Emergency Medicine | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Andrea M Wright | Physician Assistant | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Christine E Sullivan | Family Medicine | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Maloney | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Stephanie M Gray | Physician Assistant | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Erin C Howard | Nurse Practitioner | Mainehealth | 10 Goodall Dr, Suite 900, East Waterboro, ME 04030-5233 |
| Ann M Brooks | Pediatric Medicine | Waterboro Village Pediatrics LLC Pa | 43 Sokokis Trl, East Waterboro, ME 04030-5400 |
| Keasha D Marescot | Pediatric Medicine | Waterboro Village Pediatrics LLC Pa | 43 Sokokis Trl, East Waterboro, ME 04030-5400 |
| City | EAST WATERBORO |
| Zip Code | 04030 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST WATERBORO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer R Granata.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.