DR. TIMOTHY P GRADY (NPI# 1386644409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386644409 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY P GRADY |
| Credential | DO |
| Practice Address |
500 Wind Ridge Dr Wausau WI 54401-4173 |
| Practice Telephone | 7158472611 |
| Practice Fax Number | 7158472465 |
| Mailing Telephone | 7158472611 |
| Mailing Fax Number | 7158472465 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39273 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30084400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801965884 | Timothy A Grady | Massage Therapist | 225 Hemingway Rd, Louisville, KY 40207-4001 | 2006-11-06 |
| 1669968970 | Timothy P Grady | Counselor | 1700 S 1st Ave Ste 14, Iowa City, IA 52240-6036 | 2018-07-10 |
| 1831554773 | Timothy Grady | Chiropractor | 1586 44th St Sw, Wyoming, MI 49509-4314 | 2015-12-18 |
| Street Address |
500 WIND RIDGE DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852504 | Patrick Henry Drechsler | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-07-14 |
| 1306407010 | Abbey Crossman | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2019-06-24 |
| 1144755232 | Kali Kann | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-04-26 |
| 1437699717 | Meghan Walls | Registered Nurse | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2017-03-06 |
| 1477905909 | Aaron Follensbee | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2016-07-08 |
| 1548688419 | Aspirus Wausau Hospital, Inc. | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2014-03-28 |
| 1336497197 | Jennifer Therese Krall | Nurse Practitioner | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2012-08-27 |
| 1336424316 | Deborah Sauer | Nurse Practitioner | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2011-10-20 |
| 1033411822 | Aspirus Clinics Inc. | Clinic/Center | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2010-11-30 |
| 1699087411 | Jacklyn A Knoll | Physician Assistant | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2010-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1043215692 | Samer Jabbour | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2005-06-20 |
| 1548688419 | Aspirus Wausau Hospital, Inc. | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2014-03-28 |
| 1871753632 | John Michael Frangiskakis | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2008-06-14 |
| 1134130594 | Michael A Haase | Internal Medicine | 500 Wind Ridge Dr., Wausau, WI 54401-4173 | 2006-08-11 |
| 1780600668 | Joshua L Luce | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2006-07-14 |
| 1508845090 | German Larrain | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2006-01-12 |
| 1972582948 | Richard S Engelmeier | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2006-01-10 |
| 1588642755 | Joel L Furda | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2006-01-06 |
| 1801874094 | Pavel Guigauri | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2006-01-06 |
| 1184626053 | Timothy N Logemann | Internal Medicine | 500 Wind Ridge Dr, Wausau, WI 54401-4173 | 2005-08-11 |
| Find all providers in WAUSAU | ||||
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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.