John Anthony Gragnani, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

35494 Issued in MO

Practice address

1510 Scofield Valley LN
Wildwood, MO 63038-1349

Phone

(636) 458-4350

Fax

(636) 458-4350

NPI assigned

Oct 3, 2005

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1962499236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SCOFIELD VALLEY LN",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381349",
            "telephone_number": "636-458-4350",
            "fax_number": "636-458-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SCOFIELD VALLEY LN",
            "city": "WILDWOOD",
            "state": "MO",
            "postal_code": "630381349",
            "telephone_number": "636-458-4350",
            "fax_number": "636-458-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGNANI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "35494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Village Therapy, LLC
• Suzanne S. Golden, LMT
• Alana Goldstein Jacobs, LPC
• Keridan Gossrau
• Grace Home Healthcare, LLC
• Amber Grayson, MA
• Emily Gregor, RN
• Gregory S. St. John, DDS, PC
• Megan Marie Grobe
• Megan Marie Hampton, LMT

• Physical Medicine & Rehabilitation Physician in Wildwood, MO
• Providers in Wildwood, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.