DR. MARTHA A. GRISWOLD


Address: 173 Waterfront Dr, Colonial Heights, VA 23834-2181
Phone: 8045205165

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
0101033077 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6097812 05

Office Location

Street Address 173 WATERFRONT DR
City COLONIAL HEIGHTS
State VA
Zip Code 23834-2181

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NPI Name Taxonomy Address Enumeration
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1619598653 Jasmine Cutler Nurse Practitioner 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 2020-04-30
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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
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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
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City COLONIAL HEIGHTS
Zip Code 23834

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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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