Active NPI
Grayson Baden, MD
- Surgery Physician
- Grand Forks, ND
National Provider Identifier
1972287209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- RL19941
- Practice address
- Und SMHS Department of Sugery
1301 N. Columbia Rd, Stop 9037
Grand Forks, ND 58202 - Phone
- (701) 777-3069
- NPI assigned
- Jun 15, 2023
- Last updated
- Jun 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | RL19941 | ND | Primary |
Addresses
Primary practice location
Und SMHS Department of Sugery
1301 N. Columbia Rd, Stop 9037
Grand Forks, ND 58202
Mailing address
Und SMHS Department of Sugery
1301 N. Columbia Rd, Stop 9037
Grand Forks, ND 58202
Phone (701) 777-3069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807003049 | ND | Order and Referring Only - General Surgery | 0244691293 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1972287209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UND SMHS DEPARTMENT OF SUGERY",
"address_2": "1301 N. COLUMBIA RD, STOP 9037",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58202",
"telephone_number": "701-777-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UND SMHS DEPARTMENT OF SUGERY",
"address_2": "1301 N. COLUMBIA RD, STOP 9037",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58202",
"telephone_number": "701-777-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADEN",
"first_name": "GRAYSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "RL19941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.