THE GRANT CLINIC, LLC (NPI# 1235466996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235466996 |
| Entity Type | Organization |
| Organization Name | THE GRANT CLINIC, LLC |
| Practice Address |
14640 N Tatum Blvd Ste 7 Phoenix AZ 85032-4824 |
| Mailing Address |
Po Box 45379 Phoenix AZ 85064-5379 |
| Practice Telephone | 6023270184 |
| Practice Fax Number | 6023588063 |
| Mailing Telephone | 6023270184 |
| Mailing Fax Number | 6023588063 |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | MARC GRANT (PRESIDENT) |
| Authorized Official Telephone | 6023270184 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
1609 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366679227 | The Grant Clinic, LLC | Clinic/Center | 525 N 18th St, 403, Phoenix, AZ 85006-4102 | 2009-06-18 |
| Street Address |
14640 N TATUM BLVD STE 7 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660416 | Southwest Wellness Group, LLC | Anesthesiology | 1940 E Thunderbird Rd Ste 103, Phoenix, AZ 85022-5760 | 2020-05-12 |
| 1740610039 | Atlantis Medical Group Az Pllc | Anesthesiology | 5501 N 19th Ave, Phoenix, AZ 85015-2450 | 2013-11-22 |
| 1659676401 | L Robert Reader Md PC | Anesthesiology | 4441 E Mcdowell Rd, Suite 101, Phoenix, AZ 85008-4503 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221879 | Gateway Addictionology Services, Pllc | Anesthesiology | 4862 E. Baseline Road, Suite 108, Mesa, AZ 85206 | 2016-08-29 |
| 1285030544 | Ernesto R Garcia | Anesthesiology | 3145 E Arroyo Chico, Tucson, AZ 85716-5808 | 2014-11-14 |
| 1841538311 | Atlantis Anesthesia Associates Az Pllc | Anesthesiology | 11124 W California Ave Ste F, Youngtown, AZ 85363-1246 | 2013-01-17 |
| 1295281863 | Kurefusion, Pllc | Anesthesiology | 4862 E. Baseline Road, Suite 108, Mesa, AZ 85206-4668 | 2016-09-01 |
| 1891173340 | Dependency Relief Specialists | Anesthesiology | 1452 N Higley Rd, Suite 101, Gilbert, AZ 85234-1610 | 2015-05-15 |
| 1528490968 | Grant Clinic LLC | Anesthesiology | 708 S Coeur D Alene Ln, Suite D, Payson, AZ 85541-5662 | 2013-08-08 |
| 1346558483 | Grant Clinic LLC | Anesthesiology | 708 S Coeur D Alene Ln, Suite D, Payson, AZ 85541-5662 | 2010-09-23 |
| 1174690606 | Rob Ashby | Anesthesiology | 115 S Mccormick St Ste 2, Prescott, AZ 86303-4738 | 2006-11-29 |
Please comment or provide details below to improve the information on THE GRANT CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.