Martha a. Griswold MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101033077 Issued in VA

Legal business name

MARTHA A. GRISWOLD MD PC

Practice address

507 S Sycamore St
Petersburg, VA 23803-5037

Phone

(804) 861-8444

Fax

(804) 862-1582

NPI assigned

Oct 10, 2007

Last updated

Jan 7, 2008By 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

Martha A. Griswold, M.D., P.C.

Title

Owner

Phone

(804) 861-8444

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1770771248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035037",
            "telephone_number": "804-861-8444",
            "fax_number": "804-862-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035037",
            "telephone_number": "804-861-8444",
            "fax_number": "804-862-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA A. GRISWOLD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-861-8444",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101033077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006097812",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C10320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770771248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Marrer, LPC
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• Emily Fowler Marshman
• Cynthia Morgan Marstin, MS CCC-SLP
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• Courtney Martin
• Kelly Martin
• Rene Martin
• Mas Health LLC

• Internal Medicine Physician in Petersburg, VA
• Providers in Petersburg, 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 Jan 7, 2008; 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.