DR. MARTHA A. GRISWOLD (NPI# 1306802426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306802426 |
Entity Type | Individual |
Full Name | DR. MARTHA A. GRISWOLD |
Credential | M.D. |
Practice Address |
173 Waterfront Dr Colonial Heights VA 23834-2181 |
Mailing Address |
430 Claremont Ct Suite 212 Colonial Heights VA 23834-1770 |
Practice Telephone | 8045205165 |
Mailing Telephone | 8045200892 |
Mailing Fax Number | 8045200896 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
0101033077 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6097812 | 05 |
Street Address |
173 WATERFRONT DR |
City | COLONIAL HEIGHTS |
State | VA |
Zip Code | 23834-2181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
Find all providers in zip 23834 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659552156 | Olumuyiwa Ojediran, M.d P.c | Internal Medicine | 734 S Sycamore St, Petersburg, VA 23803-5817 | 2007-11-26 |
1376760140 | Richard Homer Bright | Internal Medicine | 94 Longview Cir, Fishersville, VA 22939-2004 | 2007-04-20 |
1881795557 | Bon Secours Memorial Regional Medical Center LLC | Internal Medicine | 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 | 2006-09-26 |
1730116575 | Alok Rustogi | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-06-27 |
1043549561 | Hampton Roads Hospitalist Group | Internal Medicine | 3636 High St, Portsmouth, VA 23707-3236 | 2009-12-11 |
1700042231 | Michael Tobeh Kometa | Internal Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2008-08-04 |
1487867958 | Kaveh Ofogh | Internal Medicine | 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 | 2007-05-08 |
1942364617 | Centre Pointe Health Specialties | Internal Medicine | 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 | 2006-12-20 |
1487712394 | Nushin F Todd | Internal Medicine | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-04 |
1265513238 | Jeffrey B Conklin | Internal Medicine | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2006-10-18 |
Find all providers with the same taxonomy |
City | COLONIAL HEIGHTS |
Zip Code | 23834 |
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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.