Patricia J Grena, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8120 Issued in MT

Practice address

600 S Main St Ste 7
Conrad, MT 59425-2532

Phone

(406) 271-2305

Fax

(406) 271-2669

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Central Montana Laboratory, LLC

  • Clinical Medical Laboratory
  • Great Falls, MT
  • NPI 1164519377
  NPD (past)
• San Juan Regional Medical Center Inc

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1225076003
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1740396142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 7",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252532",
            "telephone_number": "406-271-2305",
            "fax_number": "406-271-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 7",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252532",
            "telephone_number": "406-271-2305",
            "fax_number": "406-271-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENA",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "8120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083776",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Front Counseling LLC
• Farm View Dental PLLC
• Lara Fowler
• Bethanie Nicole Funderburk, DPT
• Golden Triangle Compounding, LLC
• Ilene Birnell Hawkinson, PA
• Michael M Hewett, PA
• Laura J Hillis, PA
• Ashton S Hofstad, NP
• Courtney M Hoover, LMT

• All providers in Conrad, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.