Individual provider Active NPI

Richard Louis Gruenewald, M.D.

  • Medical Oncology Physician
  • Owensboro, KY
National Provider Identifier
1184671166
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
27791 Issued in KY
Practice address
3638 Treehaven BND
Owensboro, KY 42303-1785
Phone
(270) 485-1238
Fax
(270) 684-4606
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 27791 KY Primary

Addresses

Primary practice location

3638 Treehaven BND
Owensboro, KY 42303-1785

Mailing address

3638 Treehaven BND
Owensboro, KY 42303-1785
Phone (270) 485-1238

Other identifiers 5

IdentifierTypeStateIssuer
100024520AMedicaidIN
P01079958OtherKYRR MEDICARE TROVER
000000754876OtherKYBCBS
000000754876OtherKYBCBS TROVER
64277916MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1184671166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 TREEHAVEN BND",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031785",
            "telephone_number": "270-485-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 TREEHAVEN BND",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031785",
            "telephone_number": "270-485-1238",
            "fax_number": "270-684-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENEWALD",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "27791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100024520A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE TROVER",
            "identifier": "P01079958",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000754876",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TROVER",
            "identifier": "000000754876",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64277916",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.