Dr Jeremy Julian Granger, MD | |
5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106-4250 | |
(712) 266-2700 | |
(712) 266-2666 |
Full Name | Dr Jeremy Julian Granger |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5885 Sunnybrook Dr Ste E100, Sioux City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033317870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25311 (Nebraska) | Secondary |
208000000X | Pediatrics | MD-43860 (Iowa) | Primary |
Entity Name | Father Flanagans Boys Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Julian Granger, MD 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106-4250 Ph: (712) 266-2700 | Dr Jeremy Julian Granger, MD 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106-4250 Ph: (712) 266-2700 |
Dr. Eyad K Najdawi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Sandra Kay Swedean Granger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-662-2700 Fax: 712-266-2666 | |
Raul C Banagale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3789 Fax: 712-279-3613 | |
Dr. Ray C Sturdevant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Pierce St, Suite 207, Sioux City, IA 51104 Phone: 712-255-8901 Fax: 712-255-9161 | |
Dr. Patrick B Beck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1125 Pierce St, Sioux City, IA 51105 Phone: 712-255-8901 Fax: 712-255-9161 | |
Alice Meng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2534 Glenn Ave, Sioux City, IA 51106 Phone: 712-274-7822 |