DR. TIMOTHY P GRADY DO
NPI 1386644409
Internal Medicine - Cardiovascular Disease in Wausau, WI

Active since July 29, 2005
500 WIND RIDGE DR, WAUSAU, WI 54401(715) 847-2611(715) 847-2465 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy P Grady Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY P GRADY DO (NPI 1386644409) is an individual cardiovascular disease provider in Wausau, Wisconsin, licensed in Wisconsin (39273) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1386644409
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. TIMOTHY P GRADYCredential: DO
Location Address500 WIND RIDGE DRWausau, WI 54401-4173
Mailing Address500 Wind Ridge DrWausau, WI 54401-4173 · (715) 847-2611 · Fax (715) 847-2465
Fax(715) 847-2465
Sole ProprietorNo
Enumeration DateJuly 29, 2005
Last NPPES UpdateJanuary 17, 2013
NPI 1386644409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WI · 39273
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

500 WIND RIDGE DR, Wausau, WI 54401

Other Identifiers 2

Medicaid30084400WI
Medicare PIN393150197WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
500 WIND RIDGE DR
WAUSAU, WI 54401
Nurse Practitioner
500 WIND RIDGE DR
WAUSAU, WI 54401
Physician Assistant
500 WIND RIDGE DR
WAUSAU, WI 54401
Nurse Practitioner
500 WIND RIDGE DR
WAUSAU, WI 54401
Physician Assistant (Medical)
500 WIND RIDGE DR
WAUSAU, WI 54401
Nurse Practitioner (Primary Care)
500 WIND RIDGE DR
WAUSAU, WI 54401
Internal Medicine (Cardiovascular Disease)
500 WIND RIDGE DR
WAUSAU, WI 54401
Internal Medicine (Cardiovascular Disease)
500 WIND RIDGE DR
WAUSAU, WI 54401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386644409, enumerated as an "individual" on July 29, 2005.

The provider is located at 500 WIND RIDGE DR WAUSAU, WI 54401 and the phone number is (715) 847-2611.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.