Active NPI
Jeffrey F Granger, M.D.
- Orthopaedic Surgery Physician
- Columbus, OH
National Provider Identifier
1184625923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35091251
- Practice address
- 543 Taylor Ave
Columbus, OH 43203-1278 - Phone
- (614) 293-2663
- Fax
- (614) 293-2053
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01034987A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 35091251 | OH | Primary |
Addresses
Primary practice location
543 Taylor Ave
Columbus, OH 43203-1278
Mailing address
543 Taylor Ave
Columbus, OH 43203-1278
Phone (614) 293-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2817250 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01034987A | IN | MD | Orthopaedic Surgery Physician |
| 35091251 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northcentral Indana Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Orthopaedic Surgery Physician
- Logansport, IN
- NPI 1861414427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1184625923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 TAYLOR AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031278",
"telephone_number": "614-293-2663",
"fax_number": "614-293-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 TAYLOR AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031278",
"telephone_number": "614-293-2663",
"fax_number": "614-293-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "JEFFREY",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01034987A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35091251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2817250",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.