Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grigory Horonenko Jr., DO

Individual provider Pulmonary Disease Physician · NPI 1356394035

Grigory Horonenko Jr., DO is a Pulmonary Disease in Phoenix, Arizona. Qualified in 2000, 26 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
26
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5090 N 40th St Ste 122
Phoenix, AZ 85018-2111
Phone: (602) 264-5685
Fax: (602) 631-9870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 3864 (AZ)

Record details

NPI number1356394035
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 21, 2010
Mailing address5090 North 40th St, Suite 122, Phoenix, AZ 85018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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