JACK W GRINNAN


Address: 19841 N 27th Ave Ste 201, Phoenix, AZ 85027-4005
Phone: 6235826420

JACK W GRINNAN (NPI# 1487090288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487090288
Entity Type Individual
Full Name JACK W GRINNAN
Credential M.D.
Practice Address 19841 N 27th Ave Ste 201
Phoenix
AZ 85027-4005
Mailing Address 77 E Thomas Rd Ste 230
Phoenix
AZ 85012-3100
Practice Telephone 6235826420
Practice Fax Number 6235826720
Mailing Telephone 6025570007
Mailing Fax Number 6025570002
Enumeration Date 2013-05-20
Last Update Date 2018-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 55776 AZ Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
AZ 372496 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
263 Farmington Ave, Farmington, CT 060321956 8606792147

Office Location

Street Address 19841 N 27TH AVE STE 201
City PHOENIX
State AZ
Zip Code 85027-4005

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306312 Ashley Nicole Felipe Registered Nurse 25700 N 21st Ave, Phoenix, AZ 85027 2020-08-10
1942784376 Crystal Rodriguez Dentist 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 2018-09-21
1790284776 Lydia Kuuipo Chong Nurse Practitioner 20414 N 27th Ave #300, Phoenix, AZ 85027 2018-02-06
1457867004 Kristi Marie Mathews Nurse Practitioner 19829 N 29th Avenue, Phoenix, AZ 85027 2017-12-19
1710348362 The Empower House, LLC Community Based Residential Treatment Facility, Mental Illness 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 2016-03-10
1972979656 Dr Daniel H Yohannes D.d.s., PC Dentist 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 2015-08-17
1013346857 Dentistry At 35th Avenu Dentist 18635 N 35th Avenue, Phoenix, AZ 85027 2013-11-02
1437592102 Ammar Alobaidy Psychiatry & Neurology 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 2013-04-12
1588900021 Jill Elizabeth Maroscia Social Worker 19636 N 27th Ave #106, Phoenix, AZ 85027 2013-01-02
1124394515 Sfjg Holdings LLC Dentist 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 2012-03-29
Find all providers in zip 85027

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558879759 Alliance Oncology of Arizona, LLC Urology 2525 E Arizona Biltmore Cir Ste C236, Phoenix, AZ 85016-2130 2018-01-22
1912327198 Kris Miguel Cajipe Urology 15920 S 48th St Ste 100, Phoenix, AZ 85048-1003 2014-04-25
1841610003 Elizabeth Ashley Tourville Urology 1313 E Osborn Rd Ste B-150, Phoenix, AZ 85014-5678 2014-04-25
1932378700 Kevin R Bigelow Urology 15920 S. 48th Street, Suite 100, Phoenix, AZ 85048-1003 2008-02-26
1922205186 Daniel Young Woodruff Urology 2444 W. Las Palmaritas Dr, Mail Stop A 112, Phoenix, AZ 85021 2007-06-29
1265588859 Lauren Byrne Urology 15920 S 48th St, Suite 100, Phoenix, AZ 85048-1003 2007-01-26
1376576348 Prostate Solutions of Arizona, P.C. Urology 1 E Camelback Rd, Suite 700, Phoenix, AZ 85012-1668 2006-07-10
1336181205 Ilya A Volfson Urology 4530 E Ray Rd Ste 128, Phoenix, AZ 85044-6096 2006-06-12
1750320842 Yoon Mark Hong Urology 2222 E Highland Ave Ste 206, Phoenix, AZ 85016 2006-06-05
1689648685 Adrian H Feng Urology 1313 E Osborn Rd, Suite B150, Phoenix, AZ 85014-5678 2006-02-15
Find all providers in PHOENIX

Competitor

Search similar providers

City PHOENIX
Zip Code 85027

Improve Information

Please comment or provide details below to improve the information on JACK W GRINNAN.

Dataset Information

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.

Trending Searches