Grant Clinic LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

1609 Issued in AZ

Legal business name

GRANT CLINIC LLC

Practice address

708 S Coeur D Alene LN
Suite D
Payson, AZ 85541-5662

Phone

(928) 468-1337

Fax

(928) 468-1339

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Marc Grant, D.O.

Title

President

Phone

(602) 327-0184

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1346558483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S COEUR DALENE LANE",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415662",
            "telephone_number": "928-468-1337",
            "fax_number": "928-468-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S COEUR D ALENE LN",
            "address_2": "SUITE D",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415662",
            "telephone_number": "928-468-1337",
            "fax_number": "928-468-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-327-0184",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AZ",
            "license": "1609",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geriatric Health Services, PLC
• Gila Health and Wellness Center LLC
• Gila Lung, PC
• David E. Glow, M.D.
• Morgan Gonzalez, FNP-C
• Grant Clinic LLC
• Marc B Grant, DO
• Scott T Grassel, RPH
• Green Leaf Anesthesia Consultants Inc
• Ergi O Gumusaneli, MD

• Pain Medicine (Anesthesiology) Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Pain Medicine (Anesthesiology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.