| Christopher Michael Granville, MD | |
|
616 Main St, Forest City, PA 18421-1430 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Christopher Michael Granville |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 616 Main St, Forest City, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649402561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD459852 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Hca Florida Citrus Hospital | Inverness, FL | Hospital |
| Wilkes-barre General Hospital | Wilkes-barre, PA | Hospital |
| Hca Florida Trinity Hospital | Trinity, FL | Hospital |
| Hca Florida Bayonet Point Hospital | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scranton Quincy Clinic Company Llc | 0143487389 | 66 |
| Scranton Hospitalist Physician Services Llc | 7719163831 | 46 |
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Entity Name | Radiology Associates of Wyoming Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174528707 PECOS PAC ID: 2365355906 Enrollment ID: O20031110000369 |
| Entity Name | Wayne Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124026182 PECOS PAC ID: 4082522149 Enrollment ID: O20040707001239 |
| Entity Name | Scranton Hospitalist Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023317849 PECOS PAC ID: 7719163831 Enrollment ID: O20110525000205 |
| Entity Name | Scranton Quincy Clinic Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20200226001916 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Michael Granville, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Christopher Michael Granville, MD 616 Main St, Forest City, PA 18421-1430 Ph: (952) 595-1100 |