Ian W Graulich, A.T., C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 876 Issued in FL

Practice address

13220 Usf Laurel Dr, MDF 5TH Floor
Mail Code Mdc106
Tampa, FL 33612

Phone

(561) 310-7272

NPI assigned

Jul 21, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: igraulich128273@direct.tgh.org

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.

• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1568483287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 PENWOOD DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471139",
            "telephone_number": "813-977-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 USF LAUREL DR, MDF 5TH FLOOR",
            "address_2": "MAIL CODE MDC106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "561-310-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAULICH",
        "first_name": "IAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "A.T., C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gratitude Behavioral Health and Wellness PA
• Denis Gratsianskiy
• Lucas Gratz
• Vanessa Nicole Grauds, PA
• Leopoldo Grauer, MD
• Javier Roberto Grave de Peralta Lopez, RBT
• Rafael Grave de Peralta Suarez
• Stephanie Gravely
• Curtis Gravenmier, MD
• Nikolaus Lee Gravenstein, M.D.

• Athletic Trainer in Tampa, FL
• Providers in Tampa, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.