MICHAEL PATRICK GRACE (NPI# 1720416191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720416191 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK GRACE |
| Credential | M.D. |
| Practice Address |
1220 Shadow Lake Rd Waterford VT 05819-9530 |
| Practice Telephone | 8027517675 |
| Mailing Telephone | 8027517675 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
042.0007602 | VT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447207584 | Michael Patrick Grace | Family Medicine | 8613 N 30th St, Omaha, NE 68112-1852 | 2006-05-27 |
| 1558343616 | Michael L Grace | Optometrist | 1045 W Pioneer Pkwy, Grand Prairie, TX 75051-4706 | 2005-11-15 |
| 1194247718 | Michael James Grace | Pharmacist | 933 Blackburn Ave, Ashland, KY 41101-4503 | 2017-07-14 |
| 1982892477 | Michael David Grace | Hearing Instrument Specialist | 530 E Broadway, Council Bluffs, IA 51503-4413 | 2007-10-09 |
| Street Address |
1220 SHADOW LAKE RD |
| City | WATERFORD |
| State | VT |
| Zip Code | 05819-9530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538576111 | Amandeep Singh Aujla | Internal Medicine | 196 Parkway South, Waterford, CT 06385 | 2014-07-16 |
| 1487626214 | Michael Joel Kane | Internal Medicine | 196 Parkway South, Suite 303, Waterford, CT 06385 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770654550 | Marc Steven Greenblatt | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-11-13 |
| 1003994633 | Julie Jae Olin | Internal Medicine | 528 Washington Highway, Copley Hospital, Morrisville, VT 05661 | 2006-11-01 |
| 1649205436 | Orion Maurice Howard | Internal Medicine | 140 Hospital Dr, Bennington, VT 05201-5009 | 2006-07-11 |
| 1477549517 | John Valentine | Internal Medicine | 130 Fisher Rd, Suite 3, Berlin, VT 05602-9516 | 2005-09-23 |
| 1982603221 | Dennis Allen Sanders | Internal Medicine | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2005-07-19 |
| 1861499964 | Johannes Christian Nunnink | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2005-07-05 |
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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.