Jonathan L Grantham, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0433509 Issued in KS

Practice address

444 Four States Dr
Suite 1
Galena, KS 66739-4324

Phone

(620) 783-4441

Fax

(620) 783-4090

NPI assigned

Jun 27, 2006

Last updated

Dec 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

University of Missouri, Kansas City, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
• Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgrantham200407@directc.mercy.net
• Direct secure messaging: jonathan.grantham.1@20184.direct.athenahealth.com

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.

• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Columbus, KS
  • NPI 1043547474
  Medicare reassignment NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment NPD
• Mercy Clinic Joplin LLC

  • Emergency Medicine Physician
  • Carthage, MO
  • NPI 1477822567
  NPD
• Mercy Specialty Hospital Southeast Kansas

  • Special Hospital
  • Galena, KS
  • NPI 1992341473
  NPD (past)
• Orthopaedic Specialists of the Four States LLC

  dba Ortho4States DME

  • Durable Medical Equipment & Medical Supplies
  • Pittsburg, KS
  • NPI 1467799106
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Specialty Hospital Southeast Kansas

  • Special Hospital
  • Galena, KS
  • NPI 1992341473
  Care Compare affiliation
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955
  Care Compare affiliation
• Mercy Hospital Carthage

  dba Mercy McCune-Brooks Hospital

  • General Acute Care Hospital
  • Carthage, MO
  • NPI 1396012753
  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1386671238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032546",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "SUITE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANTHAM",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "107822",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "0433509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100404800G",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100404800C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207974510",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney N Dreier, PT
• Elite Pain Management, LLC
• Galena Nursing & Rehab, LLC
• Galena Usd499
• James Gilkerson, PA
• Sean Michael Haase
• Eugerie Altagrace Hanley, MD
• Michael L Hearndon, DO
• Jason Ferrand Heflin
• Jaci Lyn Hill, OTR/L

• Orthopaedic Surgery Physician in Galena, KS
• Providers in Galena, 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 Dec 30, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.