Mark John Granada MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C10001675 Issued in DE

Legal business name

MARK JOHN GRANADA MD PA

Practice address

9109 Middleford Rd
Seaford, DE 19973

Phone

(302) 629-9483

Fax

(302) 628-3977

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Mitchell

Title

Billing Clerk

Phone

(302) 629-9483

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwina C Granada, MD

  • Pediatrics Physician
  • Seaford, DE
  • NPI 1629140124
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1700953437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199730913",
            "telephone_number": "302-629-9483",
            "fax_number": "302-628-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 MIDDLEFORD RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "19973",
            "telephone_number": "302-629-9483",
            "fax_number": "302-628-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JOHN GRANADA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "302-629-9483"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C10001675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucinda Leenhouts Mancuso, RD,CDE,LDN
• Madeline Esther Marcus, MD
• Marie C Wolfgang MD
• Corinne Rose Marier, LPCMH, NCC
• Mark Antos, M.D.
• Elisha Marks, PTA
• Emily Marie Marks, COTA/L
• Natasha Martinez
• Anthony Masone, MD
• Mast Audiology Services, LLC

• Pulmonary Disease Physician in Seaford, DE
• Providers in Seaford, DE by specialty
• Pulmonary Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.