Active NPI
John Granville Ward, M.D.
- Family Medicine Physician
- Eagan, MN
National Provider Identifier
1649587403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25388
- Practice address
- 1634 Murphy Pkwy
Home Address No Business Address
Eagan, MN 55122-1753 - Phone
- (651) 688-0451
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25388 | MN | Primary |
Addresses
Primary practice location
1634 Murphy Pkwy
Home Address No Business Address
Eagan, MN 55122-1753
Mailing address
1634 Murphy Pkwy
Eagan, MN 55122-1753
Phone (651) 688-0451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25388 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1649587403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 MURPHY PKWY",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221753",
"telephone_number": "651-688-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 MURPHY PKWY",
"address_2": "HOME ADDRESS NO BUSINESS ADDRESS",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221753",
"telephone_number": "651-688-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JOHN",
"middle_name": "GRANVILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "25388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.