Grainger Medical Partners, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E1595 Issued in TX

Legal business name

GRAINGER MEDICAL PARTNERS, PLLC

Practice address

16406 Saint Helier St
Jersey Village, TX 77040-2066

Phone

(832) 672-7161

NPI assigned

May 20, 2016

Last updated

Apr 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Jack Grainger, D.O.NPI 1306892005

Title

President

Phone

(832) 672-7161

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Henry Jack Grainger, DO

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1306892005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1720435688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16406 SAINT HELIER ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402066",
            "telephone_number": "832-672-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16406 SAINT HELIER ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770402066",
            "telephone_number": "832-672-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAINGER MEDICAL PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "GRAINGER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-672-7161",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E1595",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E1595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306892005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115814904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Leigh Fleenor, RN, MSN, FNP-BC
• Stacey Fransen
• Rhea Ginsberg
• Jaleesa Carreon Gonzales
• Michael George Gonzalez, M.D.
• Kate Guyett, BCBA
• Scott Henneke
• Melissa Henry
• Sarah E Henry, MA, LPC-INTERN
• Trevor Hill, PNP-PC

• Internal Medicine Physician in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.