GRAYSON HIGHLANDS CLINIC CORP (NPI# 1033464060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033464060 |
| Entity Type | Organization |
| Organization Name | GRAYSON HIGHLANDS CLINIC CORP |
| Practice Address |
6436 Troutdale Hwy Troutdale VA 24378-2023 |
| Practice Telephone | 2767831827 |
| Practice Fax Number | 2767832879 |
| Mailing Telephone | 2767831827 |
| Mailing Fax Number | 2767832879 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | JANE G SAGE (OWNER) |
| Authorized Official Telephone | 2765792128 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Grayson Highlands Clinic Corp. | 37 Cozy Cabin Lane, Mouth of Wilson, Virginia 24363 |
| Street Address |
6436 TROUTDALE HWY |
| City | TROUTDALE |
| State | VA |
| Zip Code | 24378-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142281 | Tri Area Community Health | Clinic/Center | 6436 Troutdale Hwy, Troutdale, VA 24378-2023 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420876 | The Troutdale Community Volunteer Fire Department and Rescue Squad Inc | Ambulance | 291 Ripshin Road, Troutdale, VA 24378 | 2019-04-12 |
| 1487284840 | Dalana Dawn Lane | Nurse Practitioner | 976 Grange Hall Rd, Troutdale, VA 24378-2015 | 2020-01-23 |
| 1447333778 | Troutdale Medical Center | Non-Pharmacy Dispensing Site | 67 High Country Ln, Troutdale, VA 24378-2255 | 2006-10-23 |
| 1659330041 | Douglas Clark Niemi | Dentist | 47 High Country Ln, Troutdale, VA 24378-2255 | 2006-03-22 |
| 1891336210 | Penelope Lassiter Halsey | Speech-Language Pathologist | 6459 Troutdale Hwy, Troutdale, VA 24378-2572 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558989699 | Greyson Thomas Aragon | Massage Therapist | 124 Se Harlow Ave, Troutdale, OR 97060-2049 | 2020-07-06 |
| 1487284840 | Dalana Dawn Lane | Nurse Practitioner | 976 Grange Hall Rd, Troutdale, VA 24378-2015 | 2020-01-23 |
| 1912549858 | Diana Gabriela Barajas Lopez | Dental Hygienist | 3834 Se Dora Ct, Troutdale, OR 97060-2513 | 2019-10-11 |
| 1891336210 | Penelope Lassiter Halsey | Speech-Language Pathologist | 6459 Troutdale Hwy, Troutdale, VA 24378-2572 | 2019-10-07 |
| 1386200871 | Andrea O'brien | Massage Therapist | 620 Se 11th Cir, Troutdale, OR 97060-3234 | 2019-05-10 |
| 1518420876 | The Troutdale Community Volunteer Fire Department and Rescue Squad Inc | Ambulance | 291 Ripshin Road, Troutdale, VA 24378 | 2019-04-12 |
| 1447746276 | Madeline Evans | Specialist/Technologist | 1698 Sw Cherry Park Rd, Troutdale, OR 97060-1481 | 2018-07-04 |
| 1235621509 | James Ruport | Physical Therapist | 1023 Se 48th Pl, Troutdale, OR 97060-4524 | 2018-06-03 |
| 1851889752 | Rebecca Cathleen Ahl | Massage Therapist | 422 Se Harlow Ave, Troutdale, OR 97060-2055 | 2018-04-25 |
| 1699205005 | Kurtis A Phillipi | Licensed Practical Nurse | 3745 Se 317th Ave, Troutdale, OR 97060-9401 | 2017-06-18 |
| Find all providers in TROUTDALE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285741769 | Columbia View Family Health Center PC | Family Medicine | 2800 Sw 257th Ave., Troutdale, OR 97060-1803 | 2006-08-23 |
| 1023032919 | Jennifer Marie Byrne | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-07-26 |
| 1508837378 | Gregory M Knopf | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-01-30 |
| 1619517588 | Portland Adventist Medical Center | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2020-01-08 |
| 1225184674 | Gresham Troutdale Family Medical Center PC | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2007-01-26 |
| 1174637607 | James Bruce Eubanks Sr. | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-19 |
| 1366556516 | Harpreet Kaur Dhillon | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-17 |
| 1518070333 | Matthew James Daskalos | Family Medicine | 2800 Sw 257th Ave, Troutdale, OR 97060-1803 | 2006-08-16 |
| 1609824051 | Anne M Sutherland | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-05 |
| 1043268196 | Emily C Bier | Family Medicine | 1700 Sw 257th Ave, Troutdale, OR 97060-1900 | 2006-05-04 |
| Find all providers in TROUTDALE | ||||
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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.