Individual provider Active NPI

Donald Lynn Griner, D.O.

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1821091497
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2273 Issued in AZ
Practice address
3048 E Baseline Rd
Ste 109
Mesa, AZ 85204-7287
Phone
(480) 632-1117
Fax
(480) 632-1118
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2273 AZ Primary

Addresses

Primary practice location

3048 E Baseline Rd
Ste 109
Mesa, AZ 85204-7287

Mailing address

3048 E Baseline Rd
Ste 109
Mesa, AZ 85204-7286
Phone (480) 632-1117

Other identifiers 3

IdentifierTypeStateIssuer
AZ0878700OtherAZBLUE CROSS BLUE SHIELD
1Z1015OtherAZHEALTHNET
621571OtherAZAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000068 AZ Practitioner - Family Practice 1850386459 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Charina Tecson MD PC PastSince Sep 1, 2004 Accepting new patients

Locations

300 S Phelps Dr
Apache Junction, AZ 85120
Phone (480) 536-6850

595 N Dobson Rd
Ste 65
Chandler, AZ 85224

3331 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 444-2017

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3048 E Baseline Rd
Ste 109
Mesa, AZ 85204
Phone (480) 536-6845

4360 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-2779

6828 E Brown Rd
Ste 102
Mesa, AZ 85207
Phone (480) 573-0379

6820 E Brown Rd
Mesa, AZ 85207
Phone (480) 718-1285

6242 E Arbor Ave
Ste 111
Mesa, AZ 85206
Phone (480) 610-8183

220 N Stapley Dr
Ste B
Mesa, AZ 85203
Phone (480) 718-1290

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: dgriner@hmg.gwaydirect.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1821091497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD",
            "address_2": "STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047286",
            "telephone_number": "480-632-1117",
            "fax_number": "480-632-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 E BASELINE RD",
            "address_2": "STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047287",
            "telephone_number": "480-632-1117",
            "fax_number": "480-632-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINER",
        "first_name": "DONALD",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0878700",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z1015",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "621571",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.