NPIMap

Organization Active NPI

Gordon Grado, M.D., Inc

Doing business as Southwest Oncology Centers

  • Radiation Oncology Physician
  • Scottsdale, AZ
National Provider Identifier
1952481152
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
GORDON GRADO, M.D., INC
Doing business as
Southwest Oncology Centers
Practice address
2926 N Civic Center PLZ
Scottsdale, AZ 85251-6902
Phone
(480) 614-6300
Fax
(480) 614-6333
NPI assigned
Oct 16, 2006
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Dr. Gordon Louis Grado, MDNPI 1225092745
Title
Medical Director
Phone
(480) 614-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

2926 N Civic Center PLZ
Scottsdale, AZ 85251-6902

Mailing address

2926 N Civic Center PLZ
Scottsdale, AZ 85251-6902
Phone (480) 614-6300

Other names 1

  • Southwest Oncology Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040713000977 AZ Part B Supplier - Clinic/Group Practice 3971581166 Receives reassigned benefits from 5 practitioners
Practice locations: Yuma, AZ; Scottsdale, AZ; San Luis, AZ; Bullhead City, AZ
O20141124002096 MN Part B Supplier - Clinic/Group Practice 3971581166 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MN

National Provider Directory

National Provider Directory

Locations

2755 Silver Creek Rd
Ste 115127
Bullhead City, AZ 86442
Phone (928) 514-2222

2755 Silver Creek Rd
Ste 127
Bullhead City, AZ 86442

5310 W Thunderbird Rd
Ste 108
Glendale, AZ 85306
Phone (602) 978-0900

16620 N 40th St
Ste C3
Phoenix, AZ 85032
Phone (480) 344-4017

11390 E Via Linda
Ste 103
Scottsdale, AZ 85259
Phone (480) 219-0055

2926 N Civic Center Plz
Ste 10
Scottsdale, AZ 85251

1385 S Pacific Ave
Yuma, AZ 85365
Phone (928) 314-1174

2051 W 25th St
Yuma, AZ 85364
Phone (928) 317-1119

500 Harvard St SE
#J1208
Minneapolis, MN 55455

6545 France Ave S
Minneapolis, MN 55435
Phone (952) 848-5600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1952481152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516902",
            "telephone_number": "480-614-6300",
            "fax_number": "480-614-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 N CIVIC CENTER PLZ",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516902",
            "telephone_number": "480-614-6300",
            "fax_number": "480-614-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON GRADO, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "GRADO",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "480-614-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Oncology Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Oncology Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.