VICTORIA E GRADY


Address: 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546
Phone: 8044480198

VICTORIA E GRADY (NPI# 1043275852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043275852
Entity Type Individual
Full Name VICTORIA E GRADY
Credential MD
Practice Address 8051 Prosperity Way Ste 100
Ruther Glen
VA 22546
Mailing Address Po Box 419402
Boston
MA 02241-9402
Practice Telephone 8044480198
Practice Fax Number 8044480598
Mailing Telephone 8552901552
Mailing Fax Number 3367746872
Enumeration Date 2006-04-18
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 95-00597 NC Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 0101053568 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE PTAN 021044C18 01
VA 010339413 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
830 E Main St, Attn: Mcv Physicians, Richmond, VA 232192704 8046283215 8048278411

Office Location

Street Address 8051 PROSPERITY WAY STE 100
City RUTHER GLEN
State VA
Zip Code 22546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023653995 Kaitlin Van Winkler Physician Assistant 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546-5812 2019-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659888717 Mohamed Ibrahim Dentist 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 2018-01-10
1891246237 Urgent Care Travel, Inc Clinic/Center 23458 Cool Water Drive, Ruther Glenn, VA 22546 2016-10-20
1346423225 Caroline Outpatient Program Community/Behavioral Health 7120 Conway Place, Ruther Glen, VA 22546 2007-12-13
1578931911 Right Price Construction Durable Medical Equipment & Medical Supplies 306 Burr Dr, Ruther Glen, VA 22546 2015-09-02
1588973614 Jennifer Lynn Brown Social Worker 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 2010-10-07
1710293477 Nancy Christine Love I Social Worker 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 2010-08-19
1184182719 Antonio O'neil Clinkscales Counselor 103 Surrey Dr, Ruther Glen, VA 22546-1035 2019-03-02
1942548912 Nicole Rich Technician 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 2013-01-24
1396063855 David Joseph Perillo Podiatrist 347 Land Or Dr, Ruther Glen, VA 22546-1235 2010-05-08
1821319567 Dpmperillonrva LLC Podiatrist 347 Land Or Dr, Ruther Glen, VA 22546-1235 2010-06-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

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1073113783 Tiger Telemedicine Internal Medicine 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 2020-10-30
1235737248 Alpa Patel Md Pllc Internal Medicine 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 2020-10-12
1821696139 Jennifer Gorrelick, Md, Pllc Internal Medicine 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 2020-10-09
1316551237 Pinnacle Healthcare Services, LLC Internal Medicine 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 2020-09-08
1588277396 Amm Consulting Inc Internal Medicine 6123 Stegen Dr, Alexandria, VA 22310-2277 2020-08-31
1215549936 Marie Hope Campbell Internal Medicine 5705 Redbud Highway, Honaker, VA 24260 2020-08-24
1376155648 Mosaic Md, Pllc Internal Medicine 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 2020-08-18
1164030458 Premier Health Consultants of Northern Virginia Inc Internal Medicine 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 2020-07-22
1679199194 Abyssinia Medical Center Internal Medicine 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 2020-06-20
1902422587 Naila T Rahman Internal Medicine 5416 3rd St S, Arlington, VA 22204-1114 2020-06-19
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Competitor

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City RUTHER GLEN
Zip Code 22546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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