| Mr Christopher D Gran, MD | |
|
3302 Mcintosh Cir, Ste 2, Joplin, MO 64804-3648 | |
| (417) 347-3703 | |
| (417) 347-3727 |
| Full Name | Mr Christopher D Gran |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 3302 Mcintosh Cir, Joplin, Missouri |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942307467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2015031997 (Missouri) | Primary |
| 208800000X | Urology | ME96501 (Florida) | Secondary |
| 208800000X | Urology | 51361 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital District | Blue earth, MN | Hospital |
| Sanford Jackson Medical Center | Jackson, MN | Hospital |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Hospital District Inc | 6204158884 | 42 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20141210001742 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20150422000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher D Gran, MD Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-3703 | Mr Christopher D Gran, MD 3302 Mcintosh Cir, Ste 2, Joplin, MO 64804-3648 Ph: (417) 347-3703 |
Dr. Eric Paul Guilliams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 Fax: 417-347-3727 | |
Dr. Brendan Thomas Gorman, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703 | |
Sidney Charles Rubenstein, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Roger Harold Schoenfeld, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 2709 W 13th St, Joplin, MO 64801 Phone: 417-781-2220 Fax: 417-781-5512 | |
Dr. Benjamin Warren Woodson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-3703 |