Niles Orthopedics, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101007545 Issued in MI

Legal business name

NILES ORTHOPEDICS, P.C.

Practice address

6 Longmeadow Village Dr
Suite 1
Niles, MI 49120-7810

Phone

(269) 684-3028

Fax

(268) 684-5291

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Grannell, D.O.NPI 1083662019

Title

President

Phone

(269) 684-3028

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Grannell, D.O.

  • Orthopaedic Surgery Physician
  • Mauston, WI
  • NPI 1083662019
  NPD (past) Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1073701462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LONGMEADOW VILLAGE DR",
            "address_2": "SUITE 1",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207810",
            "telephone_number": "269-684-3028",
            "fax_number": "268-684-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LONGMEADOW VILLAGE DR",
            "address_2": "SUITE 1",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207810",
            "telephone_number": "269-684-3028",
            "fax_number": "268-684-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES ORTHOPEDICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GRANNELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-684-3028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101007545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Rachel Nault, FNP
• Nile Family Pharmacy LLC (Nile Family Pharmacy)
• Niles Care Center LLC
• Niles Foot Clinic, PC
• Niles Mi Opco LLC
• Niles Professional Services, Inc
• Niles Vision Clinic
• Niles Vision Clinic, P.C. (Niles Vision Clinic)
• Christy Norman
• Hannah Elizabeth Norton, RN, CD

• Orthopaedic Surgery Physician in Niles, MI
• Providers in Niles, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.