Grandview Surgical Associates PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23204 Issued in AZ

Legal business name

GRANDVIEW SURGICAL ASSOCIATES PC

Practice address

13629 W Camino del Sol
Ste 180
Sun City West, AZ 85375-1405

Phone

(623) 584-7874

Fax

(623) 584-8137

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell J Giangobbe, M.D.NPI 1740312974

Title

President

Phone

(623) 584-7874

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell James Giangobbe, M.D.

  • Surgery Physician
  • Sun City West, AZ
  • NPI 1740312974
  Medicare reassignment NPD Authorized official
• William John Kennell, M.D.

  • Surgery Physician
  • Litchfield Park, AZ
  • NPI 1679696140
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1376507616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13629 W CAMINO DEL SOL",
            "address_2": "STE 180",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751405",
            "telephone_number": "623-584-7874",
            "fax_number": "623-584-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13629 W CAMINO DEL SOL",
            "address_2": "STE 180",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853751405",
            "telephone_number": "623-584-7874",
            "fax_number": "623-584-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "GIANGOBBE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-584-7874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "23204",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "23204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mortensen Goodman, M.D
• Halroy Gordon
• Piper L Goss, RBT
• Barbara J Gould, PT
• Grafted Care LLC
• Victoria Grannis, RBT
• Aspen Leigh Grant, MED, BCBA
• Greatcare and Wellness LLC
• Roger Alan Green, DDS
• Valencia Anquenette Green, L.M.T.

• Surgery Physician in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.