Chris L Granger M D LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000.31 Issued in LA

Legal business name

CHRIS L GRANGER M D LLC

Practice address

403 W 8TH St
Deridder, LA 70634-5507

Phone

(337) 463-8977

NPI assigned

Nov 8, 2007

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Lee Granger, M.D.NPI 1861472110

Title

Physician

Phone

(337) 463-8977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Lee Granger, MD

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1861472110
  Medicare reassignment NPD Authorized official
• Edwin R Bonilla, MD

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1891806121
  NPD

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1467632299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345507",
            "telephone_number": "337-463-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS L GRANGER M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-463-8977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "2000.31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cardiology Clinic of Deridder
• Elizabeth Carson
• Douglas Todd Castille, P.D.
• Sharolyn Rose Chitty, FNP-C
• Jee Eun Choi, PHARMACIST
• Chuen K Kwok Ms Apmc
• City of Deridder
• Michelle Ann Clark, LOTR
• CLHG-Leesville
• CLHG-Leesville (West Louisiana Family Practice-Deridder)

• Family Medicine Physician in Deridder, LA
• Providers in Deridder, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.