Debra Joan Gramley, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051910 Issued in PA

Practice address

1205 Grampian Blvd
Suite3-C
Williamsport, PA 17701-1978

Phone

(570) 326-4118

Fax

(570) 326-5533

NPI assigned

Nov 5, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1932353802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRAMPIAN BLVD",
            "address_2": "SUITE3-C",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011978",
            "telephone_number": "570-326-4118",
            "fax_number": "570-326-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMLEY",
        "first_name": "DEBRA",
        "middle_name": "JOAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDICARE GROUP MEMBER PTAN",
            "identifier": "221893",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Gonzales Shifflet, OD
• Christian Ward Good, PA-C
• Boris Goralnik, MD
• Judith Ann Gouldin, MD
• Devon Grafius
• Nancy L Grauso - Eby, D.O.
• Patricia Green, CRNP
• Diane Peng Greenberg, CRNP
• Katie M Greene, MS, ATC
• Amy Lynne Grimes, CRNP

• Medical Physician Assistant in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.