FREDERIC GRANNIS MD – NPI #1598773582
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

FREDERIC GRANNIS is a thoracic surgeon located in DUARTE, CA. NPPES has assigned the NPI number 1598773582 to FREDERIC GRANNIS on August 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 11 years ago on Aug 11, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERIC GRANNIS below.

NPI Profile for
FREDERIC GRANNIS

NPI Number
1598773582
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FREDERIC GRANNIS
Credentials
MD
Primary location
1500 E DUARTE RD
DUARTE, CA 91010
Phone: (626) 359-8111 Fax:
Mailing address
1333 S. MAYFLOWER AVE., 2ND FLOOR
MONROVIA, CA 91016-4066
Phone: (626) 775-3514 Fax: (626) 408-3911
Sole Proprietor
No
Updated
Identifiers

Identifiers for FREDERIC GRANNIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G386930
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)
CA G36693
2086X0206X
- Surgery / Surgical Oncology
CA G36693

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.