MRS. KATHRYN A VIDLOCK GRANLEY MD
NPI 1184662272
Family Medicine - Sports Medicine in Parker, CO

Q: What is Kathryn Vidlock Granley's NPI number?

The NPI number for Kathryn Vidlock Granley is 1184662272. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Mrs. Kathryn A Vidlock MD.

Q: What is Kathryn Vidlock Granley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since June 02, 2006PECOS Enrolled

12760 STROH RANCH WAY STE 202, PARKER, CO 80134(720) 851-5420(720) 851-5801 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Jun 15, 2017, Jan 27, 2016 and 1 more (4 updates tracked since 2015).

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About Mrs. Kathryn A Vidlock Granley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHRYN A VIDLOCK GRANLEY MD (NPI 1184662272) is an individual sports medicine provider in Parker, Colorado, licensed in Colorado (52345) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184662272

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameMRS. KATHRYN A VIDLOCK GRANLEYCredential: MD

Location Address12760 STROH RANCH WAY STE 202Parker, CO 80134-7507

Mailing Address12760 Stroh Ranch Way Ste 202Parker, CO 80134-7507 · (720) 851-5420 · Fax (720) 851-5801

Phone(720) 851-5420

Fax(720) 851-5801

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateAugust 12, 20194 updates tracked since enumeration

✔ NPI 1184662272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CO · 52345

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 52345 (CO)

12760 STROH RANCH WAY STE 202, Parker, CO 80134

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Other Names 1

Professional Name (2)Mrs. Kathryn A Vidlock Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathryn A Vidlock Granley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN SPORTS MEDICINE INC.

Family Medicine (Sports Medicine)

12760 STROH RANCH WAY STE 202
PARKER, CO 80134

Douglas County (720) 851-5420

CUSTOM NUTRITION, LLC

Dietitian, Registered

12760 STROH RANCH WAY STE 202
PARKER, CO 80134

Douglas County (720) 531-3151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Vidlock Granley's NPI number?

The NPI number for Kathryn Vidlock Granley is 1184662272. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Mrs. Kathryn A Vidlock MD.

Where is Kathryn Vidlock Granley located?

Kathryn Vidlock Granley practices at 12760 Stroh Ranch Way Ste 202, Parker, CO 80134. The listed phone number is (720) 851-5420.

What is Kathryn Vidlock Granley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kathryn Vidlock Granley enrolled in Medicare?

Yes. Kathryn Vidlock Granley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Vidlock Granley was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.