Active NPI
Richard Joseph Grayson Jr., M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Roanoke, VA
National Provider Identifier
1871698704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 0101020808
- Practice address
- 2609 Robin Hood Rd SE
Roanoke, VA 24014-3421 - Phone
- (540) 344-1067
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 0101020808 | VA | Primary |
Addresses
Primary practice location
2609 Robin Hood Rd SE
Roanoke, VA 24014-3421
Mailing address
2609 Robin Hood Rd SE
Roanoke, VA 24014-3421
Phone (540) 344-1067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871698704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 ROBIN HOOD RD SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143421",
"telephone_number": "540-344-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 ROBIN HOOD RD SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143421",
"telephone_number": "540-344-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAYSON",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "VA",
"license": "0101020808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
- Kelsey Gray, MD
- Lillian Gray
- Mandi R. Gray, LPC
- Morgan Gray, ATC
- Stephanie Gray, RBT
- Great News Counseling Services
- Great Strides Rehabilitation Inc. (Great Strides Rehabilitation)
- Great Strides Rehabilitation Inc. (Great Strides Rehabilitation)
- Great Strides Rehabilitation Inc. (Great Strides Rehabilitation)
- Great Strides Rehabilitation Inc. (Great Strides Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.