GRADY HEALTH SERVICES INC. (NPI# 1841383866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841383866 |
| Entity Type | Organization |
| Organization Name | GRADY HEALTH SERVICES INC. |
| Other Organization Name | ALTMED MEDICAL CENTER |
| Practice Address |
7524 Diplomat Dr Manassas VA 20109-2685 |
| Mailing Address |
Po Box 2041 Manassas VA 20108-0815 |
| Practice Telephone | 7033614357 |
| Practice Fax Number | 7033610346 |
| Mailing Telephone | 7033614357 |
| Mailing Fax Number | 7033610346 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MR. GERALD K LEE (PHYSICIAN) |
| Authorized Official Telephone | 7033614357 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Altmed Medical Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Grady Health Services INC. | 7524 Diplomat Drive, #101, Manassas, Virginia 20109 |
| Street Address |
7524 DIPLOMAT DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184809030 | Jerry K Lee | General Practice | 7524 Diplomat Dr, Manassas, VA 20109-2685 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1336282268 | Taylor Made Diagnostics Inc. | Clinic/Center | 1001 Poindexter St, Chesapeake, VA 23324-2444 | 2007-02-14 |
| 1154342160 | Imed, Inc. | Clinic/Center | 838 Old George Washington Hwy N, Suite A, Chesapeake, VA 23323-2209 | 2006-07-22 |
| 1568933182 | Dominion Health Medical Assoc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2018-12-07 |
| 1497114169 | Genesis Healthcare | Clinic/Center | 803 S Main St, Woodstock, VA 22664-1125 | 2016-02-23 |
| 1508245648 | Anna Nicole Kostal | Clinic/Center | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2015-05-21 |
| 1982009593 | Working Well, LLC | Clinic/Center | 4835 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-10-24 |
| 1629482526 | Occupational Health Services | Clinic/Center | 607 E Jubal Early Dr, Winchester, VA 22601-5178 | 2014-06-18 |
| 1124438627 | Blue Ridge Medical Management Corporation | Clinic/Center | 245 Medical Park Dr, Suite C, Marion, VA 24354-1100 | 2014-05-06 |
| Find all providers with the same taxonomy | ||||
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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.