GRANT ALAN SKIDMORE (NPI# 1972502466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972502466 |
| Entity Type | Individual |
| Full Name | GRANT ALAN SKIDMORE |
| Credential | M.D. |
| Practice Address |
6261 E Virginia Beach Blvd Suite 200 Norfolk VA 23502-2964 |
| Practice Telephone | 7576254455 |
| Practice Fax Number | 7576251829 |
| Mailing Telephone | 7576254455 |
| Mailing Fax Number | 7576251829 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101052264 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006102441 | 05 | |
| VA | RAILROAD MEDICARE | 140004458 | 01 |
| MDIPA/MAMSI | 229060 | 01 | |
| AETNA HEALTH PLAN | 4668815 | 01 | |
| VA | ANTHEM BLUE CROSS BLUE SH | 076448 | 01 |
| US DEPT OF LABOR | 149158900 | 01 | |
| SENTARA HEALTH PLAN | 15591 | 01 | |
| NC | MEDICAID OF NORTH CAROLIN | 790569J | 01 |
| NC | BCBS OF NORTH CAROLINA | 0569J | 01 |
| Street Address |
6261 E VIRGINIA BEACH BLVD SUITE 200 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053414433 | Theodore W Uroskie | Surgery | 6261 E Virginia Beach Blvd, Suite 100, Norfolk, VA 23502-2964 | 2006-09-07 |
| 1255442174 | Lawrence B Colen | Surgery | 6261 E Virginia Beach Blvd, Suite 100, Norfolk, VA 23502-2964 | 2006-08-31 |
| 1386607257 | Jeffrey John Laurent | Neurological Surgery | 6261 E Virginia Beach Blvd, Suite 200, Norfolk, VA 23502-2964 | 2006-04-10 |
| 1386643468 | Jonathan Philip Partington | Neurological Surgery | 6261 E Virginia Beach Blvd, Ste 200, Norfolk, VA 23502-2964 | 2005-07-20 |
| 1578562062 | Joseph Lee Koen | Neurological Surgery | 6261 E Virginia Beach Blvd, Ste 200, Norfolk, VA 23502-2964 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568756328 | Venita Marie Simpson | Neurological Surgery | 750 John Paul Jones Circle, Norfolk, VA 23708 | 2011-06-08 |
| 1407910037 | Alfred P. Magness II | Neurological Surgery | 6316 Richmond Cres, Norfolk, VA 23508-1143 | 2006-12-20 |
| 1942391396 | Neurosurgical Specialists, Inc. | Neurological Surgery | 6261 E. Virginia Beach Boulevard, Suite 200, Norfolk, VA 23502 | 2006-09-28 |
| 1457325466 | Tina Christiane Rodrigue | Neurological Surgery | 301 Riverview Avenue, Suite 400, Norfolk, VA 23510-1065 | 2006-02-15 |
| 1659370732 | David Carl Waters | Neurological Surgery | 6261 E Virginia Beach Blvd Ste 200, Norfolk, VA 23502-2964 | 2005-07-20 |
| 1790322097 | Christine Elaine Russell | Neurological Surgery | 301 Riverview Ave Ste 400, Norfolk, VA 23510-1065 | 2019-12-05 |
| 1073763389 | Sentara Medical Group | Neurological Surgery | 301 Riverview Ave, Ste 202, Norfolk, VA 23510-1065 | 2008-09-23 |
| 1598958753 | Steven Thomas Cobery | Neurological Surgery | 301 Riverview Avenue, Suite 400, Norfolk, VA 23510-1065 | 2007-08-21 |
| 1598859761 | Petra Gurtner | Neurological Surgery | 229 W Bute St, Suite 800, Norfolk, VA 23510-1405 | 2006-10-03 |
| 1245246669 | Joseph Frank Dilustro | Neurological Surgery | 601 Childrens Ln, Suite 5a, Norfolk, VA 23507-1910 | 2006-07-31 |
| Find all providers in NORFOLK | ||||
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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.