Grady Louis Garner II, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A87869 Issued in CA

Practice address

17936 Poplar LN
Country Club Hills, IL 60478-2931

Phone

(708) 647-1612

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2015By 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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Anesthesia Associates, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Aurora, IL
  • NPI 1952308223
  Medicare reassignment NPD
• Valley Pain Care Centers LTD

  • Pain Medicine Physician
  • Dekalb, IL
  • NPI 1194722058
  Medicare reassignment NPD
• Northstar Anesthesia of Illinois, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1962822395

  IL

  Medicare reassignment NPD
• Central Illinois Anesthesiology Associates, LTD

  • Anesthesiology Physician
  • Bloomington, IL
  • NPI 1770887267
  NPD (past)
• Windy City Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Frankfort, IL
  • NPI 1932248622

  Anesthesiology

  NPD (past)
• California Anesthesia Specialist AMC

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1588954358
  NPD (past)
• California Anesthesia Specialists, AMC

  • Anesthesiology Physician
  • Palmdale, CA
  • NPI 1356575138
  NPD (past)
• Windy City Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Wentzville, MO
  • NPI 1447514377
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1457405045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17936 POPLAR LN",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782931",
            "telephone_number": "708-647-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "GRADY",
        "middle_name": "LOUIS",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A87869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.