LINETTE I GRANGE D.O
NPI 1982646485
Family Medicine in Bloomington, IN

Q: What is Linette Grange's NPI number?

The NPI number for Linette Grange is 1982646485. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is Linette Grange's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Linette Grange was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 11, 2006

5921 W STATE ROAD 46, BLOOMINGTON, IN 47404(812) 935-8866(812) 935-8860 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Linette I Grange D.o NPPES

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

LINETTE I GRANGE D.O (NPI 1982646485) is an individual family medicine provider in Bloomington, Indiana, licensed in Indiana (02003654) and active in the NPI registry since June 2006. She maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1982646485

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLINETTE I GRANGECredential: D.O

Location Address5921 W STATE ROAD 46Bloomington, IN 47404-9359

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703 · (260) 266-6013

Phone(812) 935-8866

Fax(812) 935-8860

Sole ProprietorNo

Enumeration DateJune 11, 2006

Last NPPES UpdateNovember 10, 2017

✔ NPI 1982646485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02003654

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5921 W STATE ROAD 46, Bloomington, IN 47404

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Secondary Practice Location 1

Location 15921 W State Road 46Bloomington, IN 47404-9359 · Phone (812) 935-8866 · Fax (812) 935-8860

Other Identifiers 4

OtherP01123184IN · Rr Medicare

Medicare UPINE26326MI

Medicare PIN090540012IN

Medicaid201007920IN

Other Providers at the Same Location NPPES 7

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

HEATHER A DICKERSON NP

Nurse Practitioner (Family)