Active NPI
Patrick Granneman, DO
- Family Medicine Physician
- Ozark, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2018014589
- Practice address
- 505 N 25TH St
Ozark, MO 65721 - Phone
- (417) 581-3548
- Fax
- (417) 581-6164
- NPI assigned
- Jun 11, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 2018014589 | MO | Primary |
Addresses
Primary practice location
505 N 25TH St
Ozark, MO 65721
Mailing address
505 N 25TH St
Ozark, MO 65721-9069
Phone (417) 581-3548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
505 N 25TH St
MC Family Medicine Ozark
Ozark, MO 65721-9069
Phone (417) 581-3548
607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000
Hospital & facility affiliations
- Haven Home Health & Therapy
- Amedisys Home Health of Missouri
- Mercy Hospital Springfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
Locations
505 N 25th St
Ozark, MO 65721
Phone (417) 581-3548
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1730 E Republic Rd
Springfield, MO 65804
Phone (417) 520-8620
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
Interoperability endpoints
- pgranneman989292@directc.mercy.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
- Physical Therapist
- Springfield, MO
- NPI 1770628620
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, MO
- NPI 1053464651
-
- Home Health Agency
- Ozark, MO
- NPI 1275895542
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1679954093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N 25TH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657219069",
"telephone_number": "417-581-3548",
"fax_number": "417-581-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N 25TH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "65721",
"telephone_number": "417-581-3548",
"fax_number": "417-581-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANNEMAN",
"first_name": "PATRICK",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2018014589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.