DR. SHANA ALEXANDRA GREVEN (NPI# 1568727600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568727600 |
| Entity Type | Individual |
| Full Name | DR. SHANA ALEXANDRA GREVEN |
| Credential | D.O |
| Practice Address |
2321 Wards Rd Lynchburg VA 24502-2101 |
| Practice Telephone | 4345822273 |
| Mailing Telephone | 4345822273 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 921 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2012022304 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI LICENSE NUMBER | 2012022304 | 01 |
| VA | VIRGINIA LICENSE NUMBER | 0102205830 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 S Osteopathy Ave, Kirksville, MO 635016401 | 6607851400 |
| Street Address |
2321 WARDS RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025085 | Raena M. Pettitt | Family Medicine | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2005-07-06 |
| 1700266798 | Nichole Thorsvik | Neuromusculoskeletal Medicine & OMM | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2015-06-04 |
| 1043602840 | Liberty Mountain Medical Group | Family Medicine | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2015-03-03 |
| 1275933582 | Sharon J Kopis | Nurse Practitioner | 2321 Wards Rd, Liberty Mountain Medical Group, Lynchburg, VA 24502-2101 | 2014-08-25 |
| 1578873261 | Catherine Stevens Kay | Nurse Practitioner | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2010-10-14 |
| 1699903021 | Ashley R Toler | Pediatrics | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2009-06-24 |
| 1427219674 | Stephanie J Witt | Family Medicine | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2008-06-20 |
| 1235320706 | Joy L Palmer | Neuromusculoskeletal Medicine & OMM | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2007-08-08 |
| 1225087299 | Sigmund P Seiler | Family Medicine | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2006-05-08 |
| 1598737876 | Michael Hueber | Family Medicine | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710170 | Kenneth C Slater | Neuromusculoskeletal Medicine & OMM | Po Box 1098, Lynchburg, VA 24505-1098 | 2006-05-23 |
| 1700266798 | Nichole Thorsvik | Neuromusculoskeletal Medicine & OMM | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2015-06-04 |
| 1235320706 | Joy L Palmer | Neuromusculoskeletal Medicine & OMM | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2007-08-08 |
| 1386645968 | Michael D Lockwood | Neuromusculoskeletal Medicine & OMM | 2321 Wards Rd, Lynchburg, VA 24502-2101 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1013303486 | Mukarram Razvi | Neuromusculoskeletal Medicine & OMM | 1999 S Main St Ste 505j, Blacksburg, VA 24060-6601 | 2015-04-12 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1710133228 | Jason A. Sneed | Neuromusculoskeletal Medicine & OMM | 2525 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-08-15 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| 1376750646 | Nancy Laura Liles | Neuromusculoskeletal Medicine & OMM | 7455 Mcconnell Rd, Roanoke, VA 24019-3241 | 2007-05-17 |
| 1033232269 | Alina H Tobey | Neuromusculoskeletal Medicine & OMM | 1691 Innovation Dr Ste 2100, Blacksburg, VA 24060-6828 | 2007-04-10 |
| 1588782213 | Michael J Porvaznik | Neuromusculoskeletal Medicine & OMM | 4910 31st St S, Suite A, Arlington, VA 22206-1656 | 2007-03-27 |
| 1396873774 | Janine Marie Talty | Neuromusculoskeletal Medicine & OMM | 2702 Brambleton Ave Sw, Roanoke, VA 24015-4308 | 2007-02-28 |
| 1427106624 | Kevin Andrew Hicks | Neuromusculoskeletal Medicine & OMM | 300a Temple Lake Dr, Suite 1, Colonial Heights, VA 23834-2972 | 2007-01-06 |
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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.