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THOMAS JOSEPH GRADY M.D. NPI 1518949346


NPI Information

NPI: 1518949346
Provider Name: THOMAS JOSEPH GRADY, M.D.,
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
20 HOPE AVE
STE. 207
WALTHAM, MA
ZIP 02453
Phone: (781) 893-6520
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Thomas Joseph Grady, M.D., is a surgery in Waltham, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Thomas Joseph Grady, M.D., NPI is 1518949346. 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:

20 HOPE AVE
STE. 207
WALTHAM, MA
ZIP 02453-721
Phone: (781) 893-6520
Fax: (781) 893-6522

The enumeration date for this NPI number is 11/17/2005 and was last updated on 5/20/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery34153MASSACHUSETTSNo
2208C00000XColon & Rectal Surgery34153MASSACHUSETTSNo
3208600000XSurgeryA34515MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AX0126OTHERMEDICARE PTAN
2A34515MEDICARE UPINMASSACHUSETTS
32019701MEDICAIDMASSACHUSETTS
4020909149OTHERMASSACHUSETTSRAILROAD MEDICARE
5B18189MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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: 4/28/2024

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