Yellow Springs Primary Care, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YELLOW SPRINGS PRIMARY CARE, INC

Practice address

888 Dayton St Unit 106
Yellow Springs, OH 45387-1778

Phone

(937) 767-1088

Fax

(937) 767-1022

NPI assigned

Apr 11, 2019

Organization subpart

Yes

Parent organization

YELLOW SPRINGS PRIMARY CARE INCAs reported in NPPES

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

Authorized official

Name

Donald Alexander Gronbeck, MDNPI 1235366709

Title

Owner

Phone

(937) 767-1088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Yellow Springs Primary Care Other name
• Yellow Springs Primary Care Rural Health Clinic Other name

Tax ID family

Yellow Springs Primary Care2 organizations share this tax ID, including this one

Part of

Yellow Springs Primary Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yellow Springs Primary Care, Inc

  • Primary Care Clinic/Center
  • Yellow Springs, OH
  • NPI 1164841912
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Alexander Gronbeck, M.D.

  • Family Medicine Physician
  • Yellow Springs, OH
  • NPI 1235366709
  NPD (past) Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1194288514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 106",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-767-1088",
            "fax_number": "937-767-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 106",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-767-1088",
            "fax_number": "937-767-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW SPRINGS PRIMARY CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YELLOW SPRINGS PRIMARY CARE INC",
        "enumeration_date": "2019-04-11",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GRONBECK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-767-1088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "363873",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yellow Springs Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yellow Springs Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Yellow Springs Primary Care Rural Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yellow Springs Chiropractic, LLC
• Yellow Springs Chiropratic II, LLC
• Yellow Springs Dental Care John T Russell DDS Inc.
• Yellow Springs Pharmacy LLC
• Yellow Springs Primary Care, Inc
• Yellow Springs Primary Care, Inc
• Mary K Yelton
• Jane Young, PSY.D.
• Barbara Jean Zulliger, R.PH.

• Family Medicine Physician in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.