Organization Active NPI

David S. Grubbs, M.D., P.a.

  • Cardiovascular Disease Physician
  • Newark, DE
National Provider Identifier
1184796682
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C1-0003022 Issued in DE
Legal business name
DAVID S. GRUBBS, M.D., P.A.
Practice address
K15 Omega Drive, Suite 5
Newark, DE 19713
Phone
(302) 738-7303
Fax
(302) 738-7308
NPI assigned
Nov 14, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Dr. David S. Grubbs, M.D.NPI 1497732705
Title
President
Phone
(302) 738-7303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C1-0003022 DE Primary

Addresses

Primary practice location

K15 Omega Drive, Suite 5
Newark, DE 19713

Mailing address

K15 Omega Drive, Suite 5
Newark, DE 19713
Phone (302) 738-7303

Other identifiers 11

IdentifierTypeStateIssuer
1000015374MedicaidDE
2751456OtherDEAETNA HMO
060069291OtherDERAILROAD MEDICARE
417709OtherDEOPTIMUM CHOICE MAMSI
2089779000OtherDEAMERIHEALTH
4203484OtherDEAETNA
5283108OtherDENEW JERSEY MEDICAID
001401196OtherDEAMERIHEALTH ADMINISTRATOR
174289OtherDECOVENTRY OF DELAWARE
1417360006OtherDECIGNA
2089779000OtherDEINDEPENDENCE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

15K Omega Dr
Ste 5
Newark, DE 19713
Phone (302) 738-7303

36G Omega Dr
#C
Newark, DE 19713
Phone (302) 738-7303

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1184796682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K15 OMEGA DRIVE, SUITE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-738-7303",
            "fax_number": "302-738-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K15 OMEGA DRIVE, SUITE 5",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-738-7303",
            "fax_number": "302-738-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. GRUBBS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-738-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0003022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015374",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2751456",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060069291",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE MAMSI",
            "identifier": "417709",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2089779000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4203484",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY MEDICAID",
            "identifier": "5283108",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "001401196",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY OF DELAWARE",
            "identifier": "174289",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1417360006",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2089779000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.