NPIMap

Organization Active NPI

Gruner Clinic, LLC

  • Internal Medicine Physician
  • Zachary, LA
National Provider Identifier
1043403918
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
024988 Issued in LA
Legal business name
GRUNER CLINIC, LLC
Practice address
6180 Main St
Suite B
Zachary, LA 70791-4069
Phone
(225) 658-5959
Fax
(225) 658-9998
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Rachel Mier Gruner, M.D.NPI 1306848197
Title
Owner
Phone
(225) 658-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 024988 LA Primary
Surgery Physician 208600000X 023672 LA

Addresses

Primary practice location

6180 Main St
Suite B
Zachary, LA 70791-4069

Mailing address

6180 Main St
Suite B
Zachary, LA 70791-4069
Phone (225) 658-5959

Other identifiers 1

IdentifierTypeStateIssuer
1444821MedicaidLA

National Provider Directory

National Provider Directory

Locations

6180 Main St
Ste B
Zachary, LA 70791
Phone (225) 381-6550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1043403918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 MAIN ST",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-5959",
            "fax_number": "225-658-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 MAIN ST",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-5959",
            "fax_number": "225-658-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "GRUNER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-658-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024988",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "023672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.