GRAYSON HALLADAY (NPI# 1225589021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225589021 |
Entity Type | Individual |
Full Name | GRAYSON HALLADAY |
Credential | PA-C |
Practice Address |
18444 N 25th Ave Suite 310 Phoenix AZ 85023 |
Mailing Address |
9305 W Thomas Rd Suite 305 Phoenix AZ 85037-3328 |
Practice Telephone | 8669742673 |
Practice Fax Number | 8669392673 |
Mailing Telephone | 8669742673 |
Mailing Fax Number | 8669392673 |
Enumeration Date | 2016-10-18 |
Last Update Date | 2017-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
6575 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
18444 N 25TH AVE SUITE 310 |
City | PHOENIX |
State | AZ |
Zip Code | 85023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568469336 | Michael Duval | Specialist | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023-1261 | 2005-07-07 |
1366931354 | Thomas R Goodine | Orthopaedic Surgery | 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023 | 2018-05-04 |
1780122796 | Open Doors Counseling, Coaching and Consulting | Community/Behavioral Health | 18444 N 25th Ave, Suite 420, Phoenix, AZ 85023-1261 | 2017-02-09 |
1295272334 | Niloofar Dehghan | Specialist | 18444 N 25th Ave, Ste 320, Phoenix, AZ 85023-1261 | 2017-01-27 |
1811343700 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2016-05-10 |
1033564042 | Arizona Therapy Associates, LLC | Residential Treatment Facility, Physical Disabilities | 18444 N 25th Ave, Suite 420-712, Phoenix, AZ 85023-1261 | 2016-04-27 |
1013390343 | Phillip Veatch | Physician Assistant | 18444 N 25th Ave, 310, Phoenix, AZ 85023-1261 | 2015-07-06 |
1639551617 | Raymond Finch | Physical Therapist | 18444 N 25th Ave, Suite 210, Phoenix, AZ 85023-1261 | 2015-06-25 |
1619384294 | Elise C Harris | Physical Therapist | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2014-07-16 |
1639509946 | Open Doors Counseling, Coaching and Consulting | Social Worker | 18444 N 25th Ave, Ste 420, Phoenix, AZ 85023-1261 | 2013-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
Find all providers in zip 85023 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
1598047367 | James P. Ennis II | Physician Assistant | 4023 Cloverland Drive, Phoenix, MD 21131-2139 | 2011-09-16 |
1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.