Grundy Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101049088 Issued in VA

Legal business name

GRUNDY INTERNAL MEDICINE, PC

Practice address

1532 Slate Creek Road
Ste 203
Grundy, VA 24614

Phone

(276) 935-4858

NPI assigned

Mar 29, 2007

Last updated

Nov 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Susan McNutt

Title

Billing Manager

Phone

(276) 935-4858

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1043339989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2855",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246142855",
            "telephone_number": "276-935-4858",
            "fax_number": "276-935-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SLATE CREEK ROAD",
            "address_2": "STE 203",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "24614",
            "telephone_number": "276-935-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "276-935-4858",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101049088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Allen Gettman, R.PH., M.B.A.,PH.D.
• Haley Reed Gibson
• Janice Goff
• Maragret L Goss, DO
• Aleshia Grizzle, FNP
• Grundy Life Care Corp
• H&H Haven LLC
• Trishia Gail Hagerman-Payne, PA
• Megan Hall
• Pamela D Harrison, FNP

• Internal Medicine Physician in Grundy, VA
• Providers in Grundy, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.