Mark J Grumbine, C.PED.

Primary specialty

SpecialistTaxonomy code 174400000X

License

CPED3982 Issued in WA

Practice address

2520 Colby Ave
#5
Everett, WA 98201-2990

Phone

(360) 320-2478

NPI assigned

Jun 6, 2013

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1194163592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26127 74TH AVE NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926215",
            "telephone_number": "360-631-8385",
            "fax_number": "360-926-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 COLBY AVE",
            "address_2": "#5",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012990",
            "telephone_number": "360-320-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBINE",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "C.PED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "CPED3982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Elizabeth Grote
• Ann Grounds, OTR/L
• Robert Milton Grout
• Susan Ann-Westover Grubb, MSW, LICSWA, GMHP
• Sarah Gruber
• Nancy Grzadzielewski
• Michael Richard Gstohl, M.A.
• Petur Gudmunsson
• Zdravka Zdravkova Gueorguieva, OD
• Melinda Guertin

• Specialist in Everett, WA
• Providers in Everett, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.