Grant C Phillips, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AZ28994 Issued in AZ

Practice address

7219 N Litchfield Rd
Luke AFB, AZ 85309-1529

Phone

(623) 856-3279

Fax

(623) 856-2210

NPI assigned

Dec 14, 2005

Last updated

Apr 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Abrazo Medical Group Urgent Care LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1174847016

  Family Medicine

  NPD (past)
• Emergency Physicians Professional Association LTD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1114931490
  NPD (past)
• Peoria Pain Physicians

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1588996151
  NPD (past)
• Tucson Pain Physicians, LLC

  • Interventional Pain Medicine Physician
  • Tucson, AZ
  • NPI 1093043457
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1346225141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W LYNWOOD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031204",
            "telephone_number": "602-462-5036",
            "fax_number": "623-856-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-3279",
            "fax_number": "623-856-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GRANT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ28994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Novak, PSY.D.
• Manuel A Nunez, M.D.
• Catherine Ohrin-Greipp, MSW, LCSW, BCD
• Curtis Samuel Pacheco, MD
• Cynthia Page
• Nhien Pho
• Charles Delvon Pickett, IDMT
• Jessica Harris Rackley, PA-C
• Daniel Ramsey
• Reba Ray, MD

• Family Medicine Physician in Luke AFB, AZ
• Providers in Luke AFB, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.