DR. THOMAS RUSSELL GRANT (NPI# 1427022169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427022169 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RUSSELL GRANT |
| Credential | M.D. |
| Practice Address |
825 Fairfax Ave Norfolk VA 23507-1914 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574465955 |
| Practice Fax Number | 7574465196 |
| Mailing Telephone | 7574465955 |
| Mailing Fax Number | 7574465196 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2009-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 0101036347 | VA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
0101036347 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005624151 | 05 | |
| VA | SENTARA OPTIMA | 11025 | 01 |
| VA | UHC/MAMSI | 2180424 | 01 |
| VA | CORVEL/CORCARE | PAR | 01 |
| NC | BC/BS | 0526K | 01 |
| VA | CIGNA | PAR | 01 |
| VA | VA HEALTH NETWORK | PAR | 01 |
| VA | TRICARE/CHAMPUS | -002 -003 | 01 |
| VA | ANTHEM | 081925 | 01 |
| VA | AETNA | PAR | 01 |
| VA | FIRST HEATLH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | PAR | 01 |
| VA | 005612632 | 05 | |
| VA | VIRGINIA PREMIER HEALTH | PAR | 01 |
| VA | MULTIPLAN | PAR | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| NC | 890526K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710238100 | Thomas Archie Grant | Radiology | 9392 Stonebriar Cir, Shreveport, LA 71115-3728 | 2012-09-25 |
| 1346416757 | Thomas E Grant | Psychologist | 10 Katherine Gaylord Ln, Burlington, CT 06013-1409 | 2008-05-06 |
| 1255381729 | Thomas P Grant | Dentist | 1710 E 32nd St, Joplin, MO 64804-4101 | 2006-05-12 |
| 1992769046 | Thomas Earl Grant Jr. | Chiropractor | 4700 S 900 E, Suite 41g, Salt Lake City, UT 84117-4959 | 2006-04-14 |
| 1013997485 | Thomas R Grant | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-01-20 |
| 1316587207 | Thomas Jonathan Grant | Registered Nurse | 2581 Atlantic Ave, Brooklyn, NY 11207-2412 | 2020-01-09 |
| 1932456084 | Thomas Brandon Grant | Dentist | 908 Palm Blvd S, Niceville, FL 32578-2603 | 2012-08-08 |
| 1407059132 | Thomas R Grant | Social Worker | 147 Durham Rd, Madison, CT 06443-2675 | 2007-06-08 |
| 1437236247 | Thomas H Grant | Psychologist | 257 Main St, New Paltz, NY 12561-1610 | 2006-11-01 |
| 1144258013 | Thomas Grant | Radiology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-29 |
| Street Address |
825 FAIRFAX AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167796 | Richard Norman Willard | Obstetrics & Gynecology | 825 Fairfax Ave, Suite 310, Norfolk, VA 23507-1914 | 2005-07-12 |
| 1053930800 | Seth Warren | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-12 |
| 1235768730 | Chelsea Time Rubis | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-06 |
| 1689203317 | Kristen Mcconnell Gogoli | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-04-04 |
| 1003445040 | Mruna Jaymin Patel | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-02 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1982232773 | Bradley Nicolas Cotrina | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-29 |
| 1841827821 | Miles Reese | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1053948083 | Colin Neils Chao | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1164984290 | Una Kosarac | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2019-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557556 | Mid-atlantic Post Acute & Long Term Care Pllc | Family Medicine | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694015 | Gibbs Mobile Med, LLC | Family Medicine | 4115 Annandale Rd Ste 203, Annandale, VA 22003-2500 | 2018-06-29 |
| 1215425384 | Primary Gerontology Center LLC | Family Medicine | 4196 Merchant Plz Ste 348, Lake Ridge, VA 22192-5085 | 2018-04-24 |
| 1760994073 | Mk Cognition, Inc | Family Medicine | 807 Cameron St, Alexandria, VA 22314-2409 | 2017-10-26 |
| 1831639111 | Ad Senior Medical LLC | Family Medicine | 5000 Stoneleigh Rd, Henrico, VA 23228-5927 | 2017-03-06 |
| 1992162267 | Virginia Nursing Homes Specialists Pllc | Family Medicine | 41544 Hoddesdon Ct, Aldie, VA 20105-3097 | 2016-01-18 |
| 1881060028 | Dante Jocson | Family Medicine | 9120 Park Ave, Manassas, VA 20110-4351 | 2015-08-11 |
| 1639563414 | Promedical Services, Inc. | Family Medicine | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2015-03-19 |
| 1205258829 | Roanoke Adult Medicine LLC | Family Medicine | 1708 Clay St Se, Roanoke, VA 24013-2105 | 2014-01-16 |
| 1336470988 | Ruth Arnetta Jones | Family Medicine | 7515 Chamberlayne Ave., Henrico, VA 23227 | 2010-01-21 |
| 1235313933 | Michael C. Trahos, D.o. | Family Medicine | 6613 Goldsboro Rd, Falls Church, VA 22042-4108 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
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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.