Grady L Jeter M D Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C30088 Issued in CA

Legal business name

GRADY L JETER M D INC

Practice address

2430 Samaritan Dr
San Jose, CA 95124-3907

Phone

(408) 559-4343

Fax

(408) 371-6387

NPI assigned

Jun 22, 2010

Organization subpart

No

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

Authorized official

Name

Grady L Jeter, M.D.

Title

President

Phone

(408) 559-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1982925111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-559-4343",
            "fax_number": "408-371-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243907",
            "telephone_number": "408-559-4343",
            "fax_number": "408-371-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY L JETER M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-559-4343",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C30088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace J No M.D. PC
• Lindsey Anne Grace
• Lindsy Susana Blanco Grace
• Morgan Grace
• Graceful Healing Center
• Kayla Grady, DO
• Cynthia Graebe
• Amanda Nicole Graff-Baker, M.D.
• Jinxiu Ma Graff
• Maia Graff

• Orthopaedic Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.