Marc A Granson, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD027101E Issued in PA

Practice address

801 Ostrum St
Bethlehem, PA 18015-1000

Phone

(610) 954-4646

Fax

(610) 954-6450

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Progressive Physician Assoc Inc

  • Diagnostic Radiology Physician
  • Bethlehem, PA
  • NPI 1881646859

  Vascular Surgery

  NPD (past)
• Progressive Physician Assoc, Inc.

  • Diagnostic Radiology Physician
  • Quakertown, PA
  • NPI 1134395965

  Vascular Surgery

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1407890817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-4646",
            "fax_number": "610-954-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-4646",
            "fax_number": "610-954-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANSON",
        "first_name": "MARC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD027101E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00940604",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracious Guidance LLC
• Alexandra Gradzka, MD
• Christopher Michael Graf
• Robert Alan Graffin
• Brian D Graham
• Janel Leigh Grant, DO
• Daniel P Graves, CRNA
• Denise Marie Graves, CRNA
• Melissa Graves
• Laurie Gray Evans, PH.D.

• Vascular Surgery Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.