Individual provider Active NPI

Norman Dean Gramstad, DO

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1730145053
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
3181 Issued in AZ
Practice address
7550 N 19TH Ave Ste 201
Phoenix, AZ 85021-7976
Phone
(602) 973-3100
Fax
(602) 973-0978
NPI assigned
Apr 25, 2006
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 3181 AZ Primary

Addresses

Primary practice location

7550 N 19TH Ave Ste 201
Phoenix, AZ 85021-7976

Mailing address

PO Box 41908
Phoenix, AZ 85080-1908
Phone (602) 973-3100

Other identifiers 1

IdentifierTypeStateIssuer
982117MedicaidAZ

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1730145053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41908",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850801908",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 19TH AVE STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217976",
            "telephone_number": "602-973-3100",
            "fax_number": "602-973-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMSTAD",
        "first_name": "NORMAN",
        "middle_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "3181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "982117",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.