Individual provider Active NPI

Grant J Hope, DO

  • Internal Medicine Physician
  • Bucyrus, OH
National Provider Identifier
1366545253
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34004041 Issued in OH
Practice address
140 Hill Street
Bucyrus, OH 44820
Phone
(419) 562-2676
Fax
(419) 562-7396
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34004041 OH Primary

Addresses

Primary practice location

140 Hill Street
Bucyrus, OH 44820

Mailing address

140 Hill Street
Bucyrus, OH 44820
Phone (419) 562-2676

Other identifiers 2

IdentifierTypeStateIssuer
34155524500OtherOHANTHEM
0653252MedicaidOH

Other names 1

  • Grant J Hope Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000265 OH Practitioner - Internal Medicine 0840328779 Practice locations: Bucyrus, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34004041OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus Community Hospital LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1366545253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HILL STREET",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "44820",
            "telephone_number": "419-562-2676",
            "fax_number": "419-562-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HILL STREET",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "44820",
            "telephone_number": "419-562-2676",
            "fax_number": "419-562-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "GRANT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34004041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "34155524500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRANT",
            "last_name": "HOPE",
            "middle_name": "J",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bucyrus, OH

Sources for this page

Verify at the official NPI Registry.