Jonathan L Grantham, MD | |
444 Four States Dr, Suite 1, Galena, KS 66739-4324 | |
(620) 783-4441 | |
(620) 783-4090 |
Full Name | Jonathan L Grantham |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 32 Years |
Location | 444 Four States Dr, Galena, Kansas |
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 |
---|---|---|---|
1386671238 | NPI | - | NPPES |
207974510 | Medicaid | MO | |
100404800G | Medicaid | KS | |
100404800C | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 107822 (Missouri) | Secondary |
207X00000X | Orthopaedic Surgery | 0433509 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
Mercy Hospital Joplin | Joplin, MO | Hospital |
Mercy Hospital Carthage | Carthage, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Joplin Llc | 0547300196 | 240 |
Mercy Clinic Joplin Llc | 0547300196 | 240 |
Entity Name | Mercy Clinic Joplin Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
Mailing Address | Practice Location Address |
---|---|
Jonathan L Grantham, MD Po Box 2546, Joplin, MO 64803-2546 Ph: (620) 783-4441 | Jonathan L Grantham, MD 444 Four States Dr, Suite 1, Galena, KS 66739-4324 Ph: (620) 783-4441 |
Dr. Aaron Matthew Weber, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Galena, KS 66739 Phone: 620-783-4441 | |
Dr. Toby G Moore, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Ste 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Dr. Paul W Toma, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Jon Christopher Banwart, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4444 | |
John T Ogden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Suite 1, Galena, KS 66739 Phone: 620-783-4441 Fax: 620-783-4090 | |
Brian J. Ipsen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 444 Four States Dr, Ste 1, Galena, KS 66379 Phone: 620-783-4444 Fax: 620-783-4090 |