DR. LARRY KEITH GRUBB (NPI# 1154487072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154487072 |
Entity Type | Individual |
Full Name | DR. LARRY KEITH GRUBB |
Credential | M.D. |
Practice Address |
Walter Reed Army Medical Ctr 6900 Georgia Avenue Washington DC 20307-0001 |
Practice Telephone | 2027827250 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0039002 | MD | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013947589 | Larry Douglas Grubb | Radiology | 130 N Washington St, Sumter, SC 29150-4920 | 2006-07-03 |
1760511596 | Larry Grubb | Social Worker | 4212 Old Grand Ave, Suite 102, Gurnee, IL 60031-2708 | 2007-03-05 |
Street Address |
WALTER REED ARMY MEDICAL CTR 6900 GEORGIA AVENUE |
City | WASHINGTON |
State | DC |
Zip Code | 20307-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548250053 | Livia Ivette Perez | Optometrist | Walter Reed Army Medical Ctr, 6900 Georgia Ave Nw, Washington, DC 20307-0001 | 2005-10-26 |
1144519794 | Christina Wagner | Psychologist | Walter Reed Army Medical Ctr, Building 6, Psychology, Washington, DC 20370-0001 | 2011-04-05 |
1346557089 | Meena Vythilingam | Psychiatry & Neurology | Walter Reed Army Medical Ctr, 6900 Georgia Ave Nw, Washington, DC 20307-0001 | 2010-09-01 |
1326355157 | Maisley Jones Paxton | Psychologist | Walter Reed Army Medical Ctr, 6900 Georgia Avenue, Nw, Washington, DC 20307-0001 | 2010-08-31 |
1528372026 | Robin L Toblin | Psychologist | Walter Reed Army Medical Ctr, 6900 Georgia Ave, Washington, DC 20307-0001 | 2010-07-27 |
1386955896 | Brandy Elizabeth Hellman | Psychologist | Walter Reed Army Medical Ctr, 6900 Georgia Avenue, Nw, Washington, DC 20307-0001 | 2010-06-30 |
1447561220 | David Alan Boyd | Social Worker | Walter Reed Army Medical Ctr, 6900 Georgia Ave., Nw, Washington, DC 20307-0001 | 2010-06-28 |
1194043620 | Brenda Brewer | Social Worker | Walter Reed Army Medical Ctr, Washington, DC 20307-0001 | 2010-05-07 |
1932423241 | Devvon Bradley | Social Worker | Walter Reed Army Medical Ctr, 6900 Georgia Avenue Northwest, Washington, DC 20307-0001 | 2010-03-16 |
1356663389 | Lisa Belman Frank | Social Worker | Walter Reed Army Medical Ctr, 6900 Georgia Ave., Nw, Washington, DC 20307-0001 | 2010-02-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760659395 | Mohammad Akbar Hashemi | Physician Assistant | 6900 Gerogia Ave Nw Washington, Distric of Columbia, DC 20307 | 2008-05-13 |
1457557118 | Aaric Queen | Anesthesiology | Wramc, Bldg 2, 2j38, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-06-21 |
1285838193 | Daryl L Griffin | Anesthesiology | 6900 Nw Georgia Ave, Washington Dc, DC 20307 | 2007-06-13 |
1790999183 | Brendan Thomas Doherty | Radiology | Department of Radiology,walter Reed Army Medical Center, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-05-09 |
1598983348 | Timothy Paul Brown | Psychiatry & Neurology | Walter Reed Army Medical Center, Dept of Psychiatry, 6900 Georgia Ave Nw, Bldg. 6, Borden Pavilion, Washington, DISTRICT OF COLUMBIA 20307 | 2007-04-24 |
1912049008 | Mark Vincent Farinas | Occupational Therapist | Walter Reed Army Medical Ctr, Dept of Pediatrics, 6900 Georgia Avenue, Washington, DC 20307 | 2007-02-13 |
1497841076 | Kathleen Uhl | Family Medicine | Walter Reed Army Hospital, 6900 Georgia Ave., Washington, DC 20307 | 2006-10-04 |
1760581565 | Scott M Croll | Anesthesiology | Wramc, Bld 2 Wd 44 Anesthesia, 6900 Georgia Ave, Washington, DC 20307 | 2006-09-21 |
1295719359 | Steven Arnold Taylor | Dentist | Wramc Dept of Oral Surgery, 6900 Georgia Ave Nw, Washington, DC 20307 | 2005-12-02 |
1912991951 | Mark Jason Roschewski | Internal Medicine | 6900 Georgia Ave Nw, Walter Reed Army Med Center, Washington, DC 20307 | 2005-09-06 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1881937472 | Kristine Goins | Psychiatry & Neurology | 2115 Wisconsin Ave Nw Ste 200, Washington, DC 20007 | 2013-04-01 |
1932496221 | Alberta M Vallis | Psychiatry & Neurology | 1846 Park Rd Nw, Washington, DC 20010-1019 | 2011-07-07 |
1124275078 | Stewart Leonard Aledort | Psychiatry & Neurology | 1070 Thomas Jefferson St. N.w., Washington, DC 20007 | 2008-08-22 |
1104080696 | Judith L. Rapoport | Psychiatry & Neurology | 3010 44th Pl Nw, Washington, DC 20016-3557 | 2008-07-14 |
1801054374 | Malena Banks | Psychiatry & Neurology | 401 15th St Se Unit 100-c, Washington, DC 20003-3042 | 2008-05-30 |
1326215211 | Susan Katherine Theut | Psychiatry & Neurology | 2114 Huidekoper Pl Nw, Washington, DC 20007-1822 | 2008-05-11 |
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City | WASHINGTON |
Zip Code | 20307 |
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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.