| Sho Grant, | |
|
5750 W Thunderbird Rd Ste B200, Glendale, AZ 85306-4664 | |
| (602) 375-1700 | |
| (602) 978-1225 |
| Full Name | Sho Grant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 5750 W Thunderbird Rd Ste B200, Glendale, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245785732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upper Valley Medical Center | Troy, OH | Hospital |
| Wayne Hospital | Greenville, OH | Hospital |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springfield Urology Llc | 6608977459 | 9 |
| Uvpc Specialists, Inc. | 8921022260 | 80 |
| Entity Name | Uvpc Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115492 PECOS PAC ID: 8921022260 Enrollment ID: O20060125000461 |
| Entity Name | Springfield Urology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992922025 PECOS PAC ID: 6608977459 Enrollment ID: O20070723000735 |
| Mailing Address | Practice Location Address |
|---|---|
| Sho Grant, 5750 W Thunderbird Rd, Suite B200, Glendale, AZ 85306-4660 Ph: (602) 375-1700 | Sho Grant, 5750 W Thunderbird Rd Ste B200, Glendale, AZ 85306-4664 Ph: (602) 375-1700 |
Tiffani Rollins, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5601 W Eugie Ave, 106, Glendale, AZ 85304 Phone: 602-978-6255 Fax: 623-478-1534 |
Jessica K Schreck, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 W Bell Rd, Bldg A, Glendale, AZ 85308 Phone: 623-487-4822 Fax: 623-334-9881 |
Tara Janse, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18275 N 59th Ave Ste K162, Glendale, AZ 85308 Phone: 602-755-0800 Fax: 602-560-2721 |
Castillanna Nicole Loya Jaffe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4441 |
Andrea Block, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19555 N 59th Ave, Glendale, AZ 85308 Phone: 623-572-3200 |
Mrs. Samadhy Ruiz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5750 W. Thunderbird Ave, Suite B- 200, Glendale, AZ 85306 Phone: 602-375-1700 Fax: 602-843-2847 |
Ms. Katherine Lijoi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16390 N 59th Ave Ste 200, Glendale, AZ 85306 Phone: 623-334-4000 Fax: 623-334-4400 |