1962449041 NPI number — DR. MELINDA J GRUBER M.D.

Table of content: DR. MELINDA J GRUBER M.D. (NPI 1962449041)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962449041 NPI number — DR. MELINDA J GRUBER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRUBER
Provider First Name:
MELINDA
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962449041
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1028
Provider Second Line Business Mailing Address:
JASPER
Provider Business Mailing Address City Name:
JASPER
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47547-1028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-996-0410
Provider Business Mailing Address Fax Number:
812-996-8497

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
92 W CHRISTMAS BLVD
Provider Second Line Business Practice Location Address:
SANTA CLAUS
Provider Business Practice Location Address City Name:
SANTA CLAUS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47579-6044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-937-4120
Provider Business Practice Location Address Fax Number:
812-937-7074
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  01045418 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00312747 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 200137470 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com