DR. LARRY DOUGLAS GRUBB (NPI# 1013947589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013947589 |
| Entity Type | Individual |
| Full Name | DR. LARRY DOUGLAS GRUBB |
| Credential | MD |
| Practice Address |
130 N Washington St Sumter SC 29150-4920 |
| Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
| Practice Telephone | 8037748888 |
| Practice Fax Number | 8037786376 |
| Mailing Telephone | 8645228614 |
| Mailing Fax Number | 8437772019 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
15990 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MPA270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760511596 | Larry Grubb | Social Worker | 4212 Old Grand Ave, Suite 102, Gurnee, IL 60031-2708 | 2007-03-05 |
| 1154487072 | Larry Keith Grubb | Psychiatry & Neurology | Walter Reed Army Medical Ctr, 6900 Georgia Avenue, Washington, DC 20307-0001 | 2006-12-28 |
| Street Address |
130 N WASHINGTON ST |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568516383 | Edward William Duffy Jr. | Radiology | 130 North Washington Street, Sumter, SC 29150 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1497045058 | Charles Eric Wooten | Radiology | 805 Pamplico Hwy Ste A315, Florence, SC 29505-6056 | 2011-04-15 |
| 1174769764 | Beaufort County Memorial Hospital | Radiology | 989 Ribaut Rd Ste 130, Beaufort, SC 29902 | 2009-01-02 |
| 1255518734 | Paul Anthony Saconn | Radiology | 122 Okatie Center Blvd N, Okatie, SC 29909-3750 | 2008-01-27 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| 1972624484 | James Fyffe Mcnab | Radiology | 1680 Ribaut Raod, Ste A, Port Royal, SC 29935-2029 | 2007-04-02 |
| 1811908064 | Vipul V Thakkar | Radiology | 228 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-08-11 |
| 1285645937 | Eduard Dvorak | Radiology | 30494 435th Ave, Utica, SC 57067-5905 | 2006-08-10 |
| 1053356493 | Dean Alan Gant | Radiology | 1005 W Meeting St, Lancaster, SC 29720-2205 | 2006-06-19 |
| 1679524714 | Carolina Regional Cancer Center LLC | Radiology | 4708 Oleander Drive, Myrtle Beach, SC 29577 | 2006-05-13 |
| 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.