Andres Grisolia, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04-13001 Issued in KS

Practice address

1428 Gatewood St
Leavenworth, KS 66048-5361

Phone

(913) 682-8359

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1205074317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 GATEWOOD ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485361",
            "telephone_number": "913-682-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 GATEWOOD ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485361",
            "telephone_number": "913-682-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISOLIA",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-13001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Greene
• Mary Banks Gregerson, PHD
• Denise Marie Gregg
• Krown Griffith
• Keith Michael Grigsby, D.D.S
• Kaitlyn Groover
• Katherine Gunn, OD
• Chajuta Guss, MD
• Salomon L Guss, MD
• Latitia Ann Guthals, FNP-C

• Orthopaedic Surgery Physician in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.