DERALD P. GRICE (NPI# 1780656256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780656256 |
Entity Type | Individual |
Full Name | DERALD P. GRICE |
Credential | MD |
Practice Address |
415 Ray C. Hunt Drive Suite 3100 Charlottesville VA 22903-7851 |
Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
Practice Telephone | 4342433633 |
Practice Fax Number | 4342431539 |
Enumeration Date | 2006-02-07 |
Last Update Date | 2020-10-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0101057941 | VA | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
0101057941 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | OPTIMA | 41886 | 01 |
VA | VA PREMIER | 6802354 | 01 |
VA | ANTHEM | 433065 | 01 |
VA | SOUTHERN HEALTH | 147149 | 01 |
VA | FIRST HEALTH | 006802354 | 01 |
VA | 006802354 | 05 | |
VA | CIGNA | 700027226 | 01 |
Street Address |
415 RAY C. HUNT DRIVE SUITE 3100 |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22903-7851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679564777 | Spencer Cranston Payne | Otolaryngology | 415 Ray C. Hunt Drive, Suite 1200, Charlottesville, VA 22903-0001 | 2005-10-31 |
1760801278 | Cherie Chaney | Nurse Practitioner | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2014-04-11 |
1497011134 | Meaghan Mccarthy Stumpf | Internal Medicine | 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 38163-0001 | 2012-04-06 |
1053697680 | Anuj Singla | Orthopaedic Surgery | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2011-10-27 |
1730473331 | Melissa Anne Mcnichol | Audiologist | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2011-06-01 |
1316179856 | Veronica Hughes | Nurse Practitioner | 415 Ray C. Hunt Drive, 2nd Floor, Charlottesville, VA 22903-0001 | 2009-08-18 |
1386878940 | Adam Q. Carlson | Internal Medicine | 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 22903-0001 | 2009-05-12 |
1710140595 | Hamid Hassanzadeh | Orthopaedic Surgery | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2008-07-02 |
1386817484 | James J. Daniero | Otolaryngology | 415 Ray C. Hunt Drive, Ste 2200, Charlottesville, VA 22903-0001 | 2008-04-09 |
1295943645 | Ralf M. Nass | Internal Medicine | 415 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2007-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
Find all providers in zip 22903 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679113757 | Vann-virginia Center for Orthopaedics PC | Physical Medicine & Rehabilitation | 6160 Kempsville Cir Ste 110a, Norfolk, VA 23502-3933 | 2020-01-07 |
1902220403 | Triumph Medical Advancments | Physical Medicine & Rehabilitation | 43704 Lees Mill Sq, Leesburg, VA 20176-3821 | 2014-02-05 |
1659792323 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 7535 Little River Tpke Ste 100c, Annandale, VA 22003-2976 | 2013-12-26 |
1174843064 | Bruce Ira Tetalman | Physical Medicine & Rehabilitation | 716 Thimble Shoals Blvd, Suite A, Newport News, VA 23606-4545 | 2010-06-02 |
1275769168 | Anil Mathew Chenthitta | Physical Medicine & Rehabilitation | 19450 Deerfield Ave Ste 280, Leesburg, VA 20176-6821 | 2009-06-05 |
1548427461 | Costa George Soteropoulos | Physical Medicine & Rehabilitation | 411-b Park Hill Dr, Fredericksburg, VA 22401 | 2008-05-19 |
1003028812 | Christopher A Dawson | Physical Medicine & Rehabilitation | 860 Omni Blvd Ste 115, Newport News, VA 23606-4430 | 2007-05-04 |
1356460331 | Integrated Medical Care and Rehab.,pc | Physical Medicine & Rehabilitation | 4600 King Street, Suite 4r, Alexandria, VA 22302 | 2007-03-28 |
1518982032 | Joseph Vincent Ferraro | Physical Medicine & Rehabilitation | 2729 King St, Alexandria, VA 22302-4008 | 2006-07-13 |
1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
Find all providers with the same taxonomy |
City | CHARLOTTESVILLE |
Zip Code | 22903 |
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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.