Arizona Childrens Surgery PC
NPI 1104818822ActiveOrganization· Surgery, Pediatric Surgery· Mesa, AZ
Surgery, Pediatric Surgery in Mesa, Arizona, registered in NPPES in August 2005. The authorized official on file is Enrique Ricardo Grisoni, MD, Director.
Overview
| NPI | 1104818822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2005 |
| Last updated in NPPES | Jul 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 28876 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery, Pediatric Surgery providers in Mesa
- 1801822168
- 1528038478
- 1689611832
- 1033544564
- 1790917672
- 1346280203