MICHAEL GRILLON MD NPI 1639178122

NPI Information

NPI: 1639178122
Provider Name: MICHAEL GRILLON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
20486 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2700
Get Directions

Michael Grillon, MD is a family medicine in Onancock, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael Grillon, MD NPI is 1639178122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20486 MARKET STREET
ONANCOCK, VA
ZIP 23417
Phone: (757) 302-2700
Fax: (757) 787-9262

The NPI 1639178122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 11/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		0101055534	VIRGINIA	No
2	207Q00000X	Family Medicine		0101055534	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3810012912	MEDICAID	WEST VIRGINIA
2	790577T	MEDICAID	NORTH CAROLINA
3	C06115	OTHER	VIRGINIA	GROUP PTAN
4	2132448	OTHER	VIRGINIA	MAMSI
5	1639178122	MEDICAID	VIRGINIA
6	5472512	OTHER	VIRGINIA	AETNA
7	020002600	OTHER	VIRGINIA	BLACK LUNG
8	1073988	OTHER	WEST VIRGINIA	BRICKSTREET-WV COMP
9	1373138	OTHER	VIRGINIA	CIGNA
10	178223	OTHER	VIRGINIA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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