Physicians Family Practice, Chtrd.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIANS FAMILY PRACTICE, CHTRD.

Practice address

115 Centerway
Greenbelt, MD 20770-1836

Phone

(301) 474-2141

Fax

(301) 345-3874

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Samuel Granite, MD, FAAFP, CGM

Title

Owner

Phone

(301) 474-2141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1720101819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CENTERWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701836",
            "telephone_number": "301-474-2141",
            "fax_number": "301-345-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CENTERWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701836",
            "telephone_number": "301-474-2141",
            "fax_number": "301-345-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FAMILY PRACTICE, CHTRD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "GRANITE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-474-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAFP, CGM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.