Organization Active NPI

Grady Health Services Inc.

Doing business as Altmed Medical Center

  • Occupational Medicine Clinic/Center
  • Manassas, VA
National Provider Identifier
1841383866
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
GRADY HEALTH SERVICES INC.
Doing business as
Altmed Medical Center
Practice address
7524 Diplomat Dr
Manassas, VA 20109-2685
Phone
(703) 361-4357
Fax
(703) 361-0346
NPI assigned
Oct 2, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mr. Gerald K Lee, M.D.NPI 1184809030
Title
Physician
Phone
(703) 361-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

7524 Diplomat Dr
Manassas, VA 20109-2685

Mailing address

PO Box 2041
Manassas, VA 20108-0815
Phone (703) 361-4357

Other names 1

  • Altmed Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

7524 Diplomat Dr
Manassas, VA 20109
Phone (703) 361-4357

7524 Diplomat Dr
Ste 101
Manassas, VA 20109
Phone (703) 361-4357

7320 Sudley Rd
Manassas, VA 20109
Phone (703) 361-4352

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1841383866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201080815",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 DIPLOMAT DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092685",
            "telephone_number": "703-361-4357",
            "fax_number": "703-361-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-361-4357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altmed Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.