Provider Demographics
NPI:1881666345
Name:GRICE, DARLINDA M (MD)
Entity Type:Individual
Prefix:
First Name:DARLINDA
Middle Name:M
Last Name:GRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1910 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1594
Practice Address - Country:US
Practice Address - Phone:434-243-0075
Practice Address - Fax:434-243-0078
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053935208VP0000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA452105OtherANTHEM
VA34297OtherSENTARA
VA147154OtherSOUTHERN HEALTH
VA7602618OtherVA PREMIER
VA007602618Medicaid
VA1041331OtherFIRST HEALTH
VA700026822OtherCIGNA
VAC05896Medicare PIN
VA1041331OtherFIRST HEALTH
VAGC1100Medicare PIN
VA34297OtherSENTARA
VA007602618Medicaid