Active NPI
David S. Grubbs, M.D., P.a.
- Cardiovascular Disease Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C1-0003022
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000015374 | Medicaid | DE | |
| 2751456 | Other | DE | AETNA HMO |
| 060069291 | Other | DE | RAILROAD MEDICARE |
| 417709 | Other | DE | OPTIMUM CHOICE MAMSI |
| 2089779000 | Other | DE | AMERIHEALTH |
| 4203484 | Other | DE | AETNA |
| 5283108 | Other | DE | NEW JERSEY MEDICAID |
| 001401196 | Other | DE | AMERIHEALTH ADMINISTRATOR |
| 174289 | Other | DE | COVENTRY OF DELAWARE |
| 1417360006 | Other | DE | CIGNA |
| 2089779000 | Other | DE | INDEPENDENCE BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1497732705
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.