Eric D. Gruen D.P.M., P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ERIC D. GRUEN D.P.M., P.C.

Doing business as

Gruen Podiatry

Practice address

400 Dawson Commons Cir Ste 420
Dawsonville, GA 30534-6269

Phone

(706) 216-8637

Fax

(706) 815-5509

NPI assigned

Mar 5, 2008

Last updated

Apr 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Marcotte

Title

Office Manager

Phone

(706) 216-8637

Specialties & licenses 1

Addresses

Other names 1

• Gruen Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16085/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Eric D Gruen, D.P.M.

  • Podiatrist
  • Dawsonville, GA
  • NPI 1710953088
  Medicare reassignment NPD

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1053581009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR STE 420",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-216-8637",
            "fax_number": "815-550-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DAWSON COMMONS CIR STE 420",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346269",
            "telephone_number": "706-216-8637",
            "fax_number": "706-815-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. GRUEN D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "MARCOTTE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-216-8637"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gruen Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloie A Eberhard
• Tracy C Echuck, PA
• Nicholas Ehmann, PHARMD
• Joshua Elder
• Shaun Elliott, DMD
• Breanna Lauren Ernst, M.ED.,CCC-SLP
• Alejandra Escamilla Martinez, PA-C
• Allina Concepcion Espinosa, D.O.
• Family Orthodontics of Dville, LLC
• Debora Mulugeta Fikremariam

• Podiatrist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.