DR. TAD EDWARD GRENGA (NPI# 1124009253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124009253 |
| Entity Type | Individual |
| Full Name | DR. TAD EDWARD GRENGA |
| Credential | MD |
| Practice Address |
5818 Harbour View Blvd Suite 220 Suffolk VA 23435-3315 |
| Practice Telephone | 7576735900 |
| Practice Fax Number | 7576735905 |
| Mailing Telephone | 7576735900 |
| Mailing Fax Number | 7576735905 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 0101041085 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA/OPTIMA | 15906 | 01 |
| VA | MAMSI | 410829 | 01 |
| VA | 006901395 | 05 | |
| VA | ANTHEM | 118152 | 01 |
| Street Address |
5818 HARBOUR VIEW BLVD SUITE 220 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791687 | Cecelia M Scotece | Physician Assistant | 5818 Harbour View Blvd, Suite 230, Suffolk, VA 23435-3315 | 2005-06-27 |
| 1184287898 | Charles Joseph Fairbanks | Physical Therapy Assistant | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2019-04-18 |
| 1295197069 | Samantha Marie Persson Marshall | Nurse Practitioner | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435 | 2016-03-22 |
| 1528420429 | Plastic Surgery Associates of Tidewater | Nurse Practitioner | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435-3315 | 2016-03-22 |
| 1942614235 | Katherine Stephenson Loose | Physician Assistant | 5818 Harbour View Blvd, Suite 200, Suffolk, VA 23435-3315 | 2014-06-16 |
| 1700206653 | Brittny Pope | Dietitian, Registered | 5818 Harbour View Blvd, Suite B2, Suffolk, VA 23435-3315 | 2014-04-18 |
| 1093044463 | Pamela Michele Smith | Registered Nurse | 5818 Harbour View Blvd, Suite 240, Suffolk, VA 23435-3315 | 2009-12-15 |
| 1053557793 | Maryview Hospital | Clinic/Center | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2008-12-31 |
| 1679765804 | Joseph Lawrence Frenkel | Colon & Rectal Surgery | 5818 Harbour View Blvd, Suite B-2, Suffolk, VA 23435-3315 | 2007-08-12 |
| 1427254465 | Dorothy R Critzer | Emergency Medicine | 5818 Harbour View Blvd, Suffolk, VA 23435-3315 | 2007-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619147717 | Plastic Surgery Specialist of Virginia, Inc. | Plastic Surgery | 5131 River Club Dr Ste 110, Suffolk, VA 23435-3846 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
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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.