Active NPI
Richard Louis Gruenewald, M.D.
- Medical Oncology Physician
- Owensboro, KY
National Provider Identifier
1184671166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 27791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100024520A | Medicaid | IN | |
| P01079958 | Other | KY | RR MEDICARE TROVER |
| 000000754876 | Other | KY | BCBS |
| 000000754876 | Other | KY | BCBS TROVER |
| 64277916 | Medicaid | KY |
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.