Individual provider Active NPI

Grayson Baden, MD

  • Surgery Physician
  • Grand Forks, ND
National Provider Identifier
1972287209
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RL19941 Issued in ND
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807003049 ND Order and Referring Only - General SurgeryPractitioner - 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

Verify at the official NPI Registry.