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Jack W Grinnan, M.D.

Urology Physician in Mesa, AZ · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487090288

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Registry record

Entity type Individual (Type 1)
Name Jack W Grinnan
Credential M.D.
Sex Male
Practice address 2530 E Southern Ave, Mesa, AZ, 85204
Fax (480) 834-6181
Enumeration date May 20, 2013
Last updated in NPPES Mar 21, 2025

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians · License 55776 (AZ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
372496 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jack Grinnan?
The National Provider Identifier (NPI) for Jack Grinnan is 1487090288, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jack Grinnan practice?
The practice location on file with NPPES is in Mesa, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-21.