DR. DEEPA MARIA GRANDON (NPI# 1548571623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548571623 |
| Entity Type | Individual |
| Full Name | DR. DEEPA MARIA GRANDON |
| Other Name | DEEPA MARIA GEORGE |
| Credential | M.D |
| Practice Address |
4915 E Baseline Rd Suite 112 Gilbert AZ 85234-2965 |
| Mailing Address |
20199 E Via Del Oro Queen Creek AZ 85142-6269 |
| Practice Telephone | 4806266600 |
| Practice Fax Number | 4806266604 |
| Mailing Telephone | 7146970862 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A 112797 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4915 E BASELINE RD SUITE 112 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273814 | Payam Sarraf | Podiatrist | 4915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2965 | 2005-05-23 |
| 1841663044 | James Nelson Baker II | Physician Assistant | 4915 E Baseline Rd, Gilbert, Gilbert, AZ 85234-2965 | 2015-11-10 |
| 1356718100 | Erika Lee Biggs | Physician Assistant | 4915 E Baseline Rd, Ste 126, Gilbert, AZ 85234-2965 | 2015-08-27 |
| 1083023493 | Dermatology Solutions LLC | Clinic/Center | 4915 E Baseline Rd, Building 9 Suite 124, Gilbert, AZ 85234-2965 | 2014-08-11 |
| 1336577378 | Lauren Molloy | Physician Assistant | 4915 E Baseline Rd, #126, Gilbert, AZ 85234-2965 | 2013-10-30 |
| 1013261684 | Andrew Goodeill | Podiatrist | 4915 E Baseline Rd, Ste 121, Gilbert, AZ 85234-2969 | 2012-11-05 |
| 1265792345 | Lisa Ann Keefe | Family Medicine | 4915 E Baseline Rd, 103, Gilbert, AZ 85234-2965 | 2012-05-22 |
| 1497035604 | Jennifer Leigh Hill | Allergy & Immunology | 4915 E Baseline Rd, Ste 112, Gilbert, AZ 85234-2966 | 2011-08-18 |
| 1073801056 | All-star Pediatrics, Pllc | Pediatrics | 4915 E Baseline Rd, Ste 119, Gilbert, AZ 85234-2965 | 2011-07-12 |
| 1003129677 | University Obstetrics and Gynecology Pllc | Obstetrics & Gynecology | 4915 E Baseline Rd, 126, Gilbert, AZ 85234-2965 | 2010-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
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| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124240510 | San Tan Allergy and Asthma PC | Allergy & Immunology | 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234 | 2007-05-03 |
| 1447210935 | Earl Alan Labovitz | Allergy & Immunology | 2915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2425 | 2006-03-27 |
| 1497035604 | Jennifer Leigh Hill | Allergy & Immunology | 4915 E Baseline Rd, Ste 112, Gilbert, AZ 85234-2966 | 2011-08-18 |
| 1396056131 | Allery and Asthma Center of Arizona Plc | Allergy & Immunology | 633 E Ray Rd, 101, Gilbert, AZ 85296-4200 | 2010-06-26 |
| 1124298468 | East Valley Allergy & Asthma Center, Inc. | Allergy & Immunology | 3491 S Mercy Rd, Suite #101, Gilbert, AZ 85297-0433 | 2008-03-03 |
| 1306058961 | Mesa Tempe Allergy & Asthma Clinic PC | Allergy & Immunology | 2915 E Baseline Rd, Suite 121, Gilbert, AZ 85234-2425 | 2007-05-04 |
| 1356390512 | Neal Jain | Allergy & Immunology | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2966 | 2006-05-08 |
| 1073587382 | Sam Reed Shimamoto | Allergy & Immunology | 4915 E Baseline Rd, Suite 112, Gilbert, AZ 85234-2965 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111603 | Arizona Allergy and Asthma Specialists PC | Allergy & Immunology | 16611 S 40th St Ste 170, Phoenix, AZ 85048-0565 | 2018-04-10 |
| 1588192397 | North Scottsdale Allergy Associates | Allergy & Immunology | 6892 E Ironwood Dr, Scottsdale, AZ 85266-7444 | 2017-05-24 |
| 1164756904 | Gregory Michael Cowan | Allergy & Immunology | 9145 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4820 | 2009-09-27 |
| 1740445782 | Stanley Carl Ushinski | Allergy & Immunology | 5160 North Camino Sumo, Tucson, AZ 85718-6044 | 2008-07-18 |
| 1053586917 | Arizona Physicians Pllc | Allergy & Immunology | 5116 W Fawn Dr, Laveen, AZ 85339-2897 | 2008-04-22 |
| 1740466549 | Jeffrey Dale Leitner | Allergy & Immunology | 11209 N Tatum Blvd Ste 175, Stonecreek Medical Associates, Phoenix, AZ 85028-6016 | 2008-01-11 |
| 1972695914 | Jeffrey M Lime | Allergy & Immunology | 5605 W Eugie, 200, Glendale, AZ 85304-1200 | 2006-09-28 |
| 1053412064 | Allergy Asthma Associates PC | Allergy & Immunology | 2320 N Wyatt Dr Ste 71, Tucson, AZ 85712-2151 | 2006-09-25 |
| 1043314065 | Nabeeh Naufal Lahood | Allergy & Immunology | 2320 N Wyatt Dr, Suite 71, Tucson, AZ 85712-2151 | 2006-09-11 |
| 1144244807 | Laine E Keahey | Allergy & Immunology | 705 S Dobson Road, Chandler, AZ 85224 | 2006-07-27 |
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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.