DR. CHARLES THOMAS GRAD SR. (NPI# 1093723322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093723322 |
| Entity Type | Individual |
| Full Name | DR. CHARLES THOMAS GRAD SR. |
| Credential | MD |
| Practice Address |
201 Smallacombe Dr Scranton PA 18508-2616 |
| Mailing Address |
5 Stonybrook Rd Clarks Summit PA 18411-1166 |
| Practice Telephone | 5709610171 |
| Practice Fax Number | 5702072411 |
| Mailing Telephone | 5705869578 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | MD014268E | PA | Allopathic & Osteopathic Physicians |
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD014268E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006769880001 | 05 | |
| PA | MD LICENSE | MD014268E | 01 |
| Street Address |
201 SMALLACOMBE DR |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839273 | Theresa Germano | Nurse Practitioner | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2019-09-07 |
| 1992187157 | Beth Domiano | Pharmacist | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2015-06-24 |
| 1841622610 | Amanda Maria Grippo | Nurse Practitioner | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2013-08-05 |
| 1306108212 | Kevin E. Bowman | Pharmacist | 201 Smallacombe Dr, Suite#1, Scranton, PA 18508-2616 | 2012-06-15 |
| 1225317753 | Jillian Dwyer | Pharmacist | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2011-08-15 |
| 1013225382 | Natalie Milani | Dietitian, Registered | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2010-09-20 |
| 1730327107 | Nicole Ann Walsh | Pharmacist | 201 Smallacombe Dr, Allied Services Pharmacy Suite #1, Scranton, PA 18508-2616 | 2009-01-23 |
| 1073751475 | Gary Adam Beppler | Pharmacist | 201 Smallacombe Dr, Suite 1, Scranton, PA 18508-2616 | 2009-01-23 |
| 1245414853 | Steven Andrew Kucharski | Pharmacist | 201 Smallacombe Dr, Allied Services Pharmacy, Scranton, PA 18508-2616 | 2007-12-19 |
| 1336321124 | Allied Health Care Services | Pharmacy | 201 Smallacombe Dr, Ste 1, Scranton, PA 18508-2616 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862259 | Princy Kanakkumar Shah | Internal Medicine | Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 | 2020-02-07 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1467958025 | Hamza Hafeez | Internal Medicine | The Wright Center, 111 N. Washington Avenue, Suite 1, Scranton, PA 18503 | 2018-04-03 |
| 1346772027 | Nirali Pravinchandra Patel | Internal Medicine | 5 South Washington Ave, Suite 1000, Scranton, PA 18505 | 2017-03-31 |
| 1821538281 | Kristina Tanovic | Internal Medicine | 501 South Washington Ave, Suite 100 The Wright Center F, Scranton, PA 18505 | 2017-03-06 |
| 1982951711 | Chandrasekharreddy Navuluri | Internal Medicine | 403 Crestedge Mnr, Scranton, PA 18505-2379 | 2012-08-10 |
| 1740535004 | Deobrat Chandra Mallick | Internal Medicine | 205 Tall Trees Dr, Scranton, PA 18505-2239 | 2012-07-23 |
| 1205190055 | Sherine Tadros | Internal Medicine | 800 James Ave, Apt# 2222, Scranton, PA 18510-1551 | 2012-06-26 |
| 1528339439 | Edward Jan Zaloga | Internal Medicine | 1371 N Washington Ave, Scranton, PA 18509-2840 | 2012-01-24 |
| 1558631390 | Lekshminarayan Raghavakurup | Internal Medicine | 2000 Tall Trees Dr, 504 Tall Trees Apt, Scranton, PA 18505-2204 | 2012-01-11 |
| Find all providers in SCRANTON | ||||
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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.