Dr Joel Mark Grisham, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Rancho Cucamonga, California. Dr Joel Mark Grisham is licensed to practice in California (license number C39296) and his current practice location is 10837 Laurel St, 101, Rancho Cucamonga, California. He can be reached at his office (for appointments etc.) via phone at
(562) 208-1600.
NPI number for Dr Joel Mark Grisham is 1518279595 and his current mailing address is 5209 Westleigh Ave, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518279595.
Physician's Profile
| Full Name | Dr Joel Mark Grisham |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|
| Location | 10837 Laurel St, Rancho Cucamonga, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518279595
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 07/08/2010
Medical Identifiers
Medical identifiers for Dr Joel Mark Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518279595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C39296 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joel Mark Grisham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Joel Mark Grisham, MD
5209 Westleigh Ave,
Las Vegas, NV 89146-3326
Ph: (702) 878-9665 | Dr Joel Mark Grisham, MD
10837 Laurel St, 101,
Rancho Cucamonga, CA 91730-7643
Ph: (562) 208-1600 |
Reviews and Comments