Dr John Grady, DO | |
1555 Soquel Dr, Santa Cruz, CA 95065-1705 | |
(831) 462-7700 | |
(831) 462-7593 |
Full Name | Dr John Grady |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1555 Soquel Dr, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023270063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A11758 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Medxcare Health Professionals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982177150 PECOS PAC ID: 1658734645 Enrollment ID: O20230823003335 |
Mailing Address | Practice Location Address |
---|---|
Dr John Grady, DO 244 Chimney Creek Rd, Soquel, CA 95073-9451 Ph: (831) 227-2222 | Dr John Grady, DO 1555 Soquel Dr, Santa Cruz, CA 95065-1705 Ph: (831) 462-7700 |
Dr. Andrew Kingsley Nevitt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1555 Soquel Dr, Santa Cruz, CA 95065 Phone: 831-462-7730 | |
Richard Drucker, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5537 | |
Nicholas Christian Brown, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 7th Ave Ste 150, Santa Cruz, CA 95062 Phone: 831-462-1060 | |
Alan Leland Buchwald, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1555 Soquel Dr, Santa Cruz, CA 95065 Phone: 831-620-1156 Fax: 831-620-1156 | |
Dr. James B Maguire, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-5537 Fax: 831-423-1264 | |
Dr. William Richard Hencke Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1555 Soquel Dr, Dominican Hospital Emergency Dept., Santa Cruz, CA 95065 Phone: 831-462-7730 |