Elizabeth J Granata, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00944 Issued in RI

Practice address

20 Cumberland Hill Rd
Suite 104
Woonsocket, RI 02895-4883

Phone

(401) 765-4100

NPI assigned

Apr 18, 2017

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rhode Island Medicine Inc.

  • Internal Medicine Physician
  • Woonsocket, RI
  • NPI 1578737615
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1073047890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CUMBERLAND HILL RD",
            "address_2": "UNIT 104",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954854",
            "telephone_number": "401-765-4100",
            "fax_number": "401-765-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CUMBERLAND HILL RD",
            "address_2": "SUITE 104",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954883",
            "telephone_number": "401-765-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATA",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH",
            "identifier": "PA00944",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zuleyma Gomez, BSW
• Catherine Giard Gorman, MASTERS
• Kiely Goss
• Michelle Gourdine
• Nicole Graine
• Monica Ann Granich
• Sierra Autumn Grasso, DO
• Kerri J Gray
• Princess Grear, AGACNP
• Jennifer Green, MHC

• Medical Physician Assistant in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.