Individual provider Active NPI

Lawrence J Grench, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1134195696
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
14083 Issued in AZ
Practice address
7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431
Phone
(602) 443-2325
Fax
(602) 277-8146
NPI assigned
Feb 24, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 14083 AZ Primary

Addresses

Primary practice location

7600 N 16TH St
Suite 150
Phoenix, AZ 85020-4431

Mailing address

PO Box 39179
Phoenix, AZ 85069-9179
Phone (602) 395-0718

Other identifiers 1

IdentifierTypeStateIssuer
232661MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AL, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051108000121 AZ Practitioner - Anesthesiology 0648298752
I20180828002086 AL Practitioner - Anesthesiology 0648298752 Reassigns benefits to 1 organization
I20201112002571 CA Practitioner - Anesthesiology 0648298752 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14083AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gut PC CurrentSince Jul 18, 2018 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Dec 8, 2023 Accepting new patients
Gut PC Anesthesiology CurrentSince Jul 18, 2018 Accepting new patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Aug 6, 2020 Accepting new patients

Locations

1450 Ross Clark Cir
Ste 4
Dothan, AL 36301
Phone (334) 699-7900

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1134195696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39179",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699179",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 16TH ST",
            "address_2": "SUITE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204431",
            "telephone_number": "602-443-2325",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENCH",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "14083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232661",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.