NPIMap

Organization Active NPI

Grants Pass Surgical Associates PC

  • Surgery Physician
  • Grants Pass, OR
National Provider Identifier
1629147343
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0700000909 Issued in OR
Legal business name
GRANTS PASS SURGICAL ASSOCIATES PC
Practice address
1600 NW 6TH Street
North Suite
Grants Pass, OR 97526
Phone
(541) 474-5533
Fax
(541) 476-2380
NPI assigned
Nov 7, 2006
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Mr. Melissa Greive, DONPI 1134567027
Title
Owner/Partner
Phone
(541) 474-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 0700000909 OR Primary

Addresses

Primary practice location

1600 NW 6TH Street
North Suite
Grants Pass, OR 97526

Mailing address

1600 NW 6TH Street
North Suite
Grants Pass, OR 97526
Phone (541) 474-5533

Other names 1

  • Grants Pass Surgical Associates, P.C. Other name

National Provider Directory

National Provider Directory

Locations

1600 NW 6th St
Ste N
Grants Pass, OR 97526
Phone (503) 474-5533

Interoperability endpoints

  • Direct secure messaging: mark.deatherage.gpsurgicalassociates@jhie.net
  • Direct secure messaging: mark.jones.gpsurgicalassociates@jhie.net

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1629147343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH STREET",
            "address_2": "NORTH SUITE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-474-5533",
            "fax_number": "541-476-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 6TH STREET",
            "address_2": "NORTH SUITE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-474-5533",
            "fax_number": "541-476-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "GREIVE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "541-474-5533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "0700000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grants Pass Surgical Associates, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grants Pass Surgical Associates, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.