Grigory Horonenko Jr, DO | |
5090 N 40th St, Suite 122, Phoenix, AZ 85018-2111 | |
(602) 264-5685 | |
(602) 631-9870 |
Full Name | Grigory Horonenko Jr |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 24 Years |
Location | 5090 N 40th St, Phoenix, 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 |
---|---|---|---|
1356394035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 3864 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Banner Payson Medical Center | Payson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner - University Hospital Based Physicians Llc | 1052614294 | 255 |
Desert Wounds Pllc | 2860634250 | 6 |
Banner - University Physician Specialists Llc | 5991008054 | 241 |
Arizona Center For Chest Diseases Ltd | 8022094598 | 5 |
Entity Name | Arizona Center For Chest Diseases Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205845641 PECOS PAC ID: 8022094598 Enrollment ID: O20040625000374 |
Entity Name | Desert Wounds Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700224482 PECOS PAC ID: 2860634250 Enrollment ID: O20130814000744 |
Entity Name | Banner - University Hospital Based Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Entity Name | Banner - University Physician Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
Mailing Address | Practice Location Address |
---|---|
Grigory Horonenko Jr, DO 5090 North 40th St, Suite 122, Phoenix, AZ 85018 Ph: (602) 264-5685 | Grigory Horonenko Jr, DO 5090 N 40th St, Suite 122, Phoenix, AZ 85018-2111 Ph: (602) 264-5685 |
Moustafa I Hazin, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165 | |
Dr. Ali Shaheen Al-yaqoobi, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Dana Archbold, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084 | |
Dr. Nilofar Najafian, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488 | |
Catalina Nicole Flores, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd Dept Of, Phoenix, AZ 85013 Phone: 602-406-3000 | |
Kristina Yancey, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000 | |
Dr. Francisco Cordova, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971 |