Provider Demographics
NPI:1871503391
Name:GRUBB, STEPHEN ALLEN (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ALLEN
Last Name:GRUBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2900 LAMB CIR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6344
Mailing Address - Country:US
Mailing Address - Phone:540-633-0523
Mailing Address - Fax:540-633-0526
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:SUITE 380
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-633-0523
Practice Address - Fax:540-633-0526
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101225439207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1871503391OtherAETNA
VA1871503391OtherUNITED HEALTHCARE
VA1871503391OtherUMWA
VA540506332048OtherTRICARE/CHAMPUS
VA1871503391OtherANTHEM
VA1871503391Medicaid
VA1871503391OtherCIGNA
VA1871503391OtherVIRGINIA HEALTH NETWORK
VA1871503391OtherHEALTHKEEPERS
VA371194700OtherBLACK LUNG
VA38100001866OtherMEDICAID OF WEST VIRGINIA
VA1871503391OtherSOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
VA1871503391OtherOPTIMA HEALTH PLAN
VA1871503391OtherHUMANA MEDICARE
VA1871503391OtherHEALTHKEEPERS PLUS
VAP00847884OtherRAILROAD MEDICARE
VA0101225439OtherVIRGINIA STATE LICENSE
VA1871503391OtherVA PREMIER
VA1871503391OtherGATEWAY
VA1871503391OtherINTOTAL
VA1871503391OtherMAJESTACARE
VA1871503391OtherMAJESTACARE
VA022808C19Medicare UPIN
VA1871503391Medicaid