Organization Active NPI

M. G. Grundman & Sons Inc

  • Durable Medical Equipment & Medical Supplies
  • Vincennes, IN
National Provider Identifier
1043293392
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M. G. GRUNDMAN & SONS INC
Practice address
906 N 7TH St
Vincennes, IN 47591-3108
Phone
(812) 882-4770
NPI assigned
Nov 21, 2005
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Grundman, C.PED
Title
President
Phone
(812) 882-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

906 N 7TH St
Vincennes, IN 47591-3108

Mailing address

906 N 7TH St
Vincennes, IN 47591-3108

Other identifiers 1

IdentifierTypeStateIssuer
100277360AMedicaidIN

National Provider Directory

National Provider Directory

Locations

906 N 7th St
Vincennes, IN 47591
Phone (812) 882-4770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1043293392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913108",
            "telephone_number": "812-882-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. G. GRUNDMAN & SONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "GRUNDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-882-4770",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100277360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.