DR. M.D. Thomas Russell Grant, NPI 1427022169
Geriatric Medicine (Family Medicine) Physician in Norfolk, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1427022169
NPI Entity Type Individual
Provider Name DR. M.D. Thomas Russell Grant
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 825 Fairfax Ave, Norfolk, VA, US
Provider Mailing Address Po Box 936, Norfolk, VA, US, 235010936
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207QG0300X

Taxonomy Name Geriatric Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 0101036347
License State VA
Description 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.

Business Address

DR. M.D. Thomas Russell Grant
825 Fairfax Ave

Norfolk, VA, US

Phone: 757-446-5955
Fax: 757-446-5196

Mailing Address

DR. M.D. Thomas Russell Grant
Po Box 936
Norfolk, VA, US
ZIP 235010936
Phone: 757-446-5955
Fax: 757-446-5196

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

0101036347 VA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
PAR VA VIRGINIA PREMIER HEALTH 01
005612632 VA MEDICAID 05
0526K NC BC/BS 01
081925 VA ANTHEM 01
PAR VA MULTIPLAN 01
11025 VA SENTARA OPTIMA 01
890526K NC MEDICAID 05
PAR VA CORVEL/CORCARE 01
005624151 VA MEDICAID 05
PAR VA VA HEALTH NETWORK 01
PAR VA FIRST HEATLH COMMERCIAL/SOUTHERN HEALTH/COVENTRY 01
-002 -003 VA TRICARE/CHAMPUS 01
2180424 VA UHC/MAMSI 01
PAR VA CIGNA 01
PAR VA AETNA 01
PAR VA USA MANAGED CARE 01

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