Keith Gorman Gruchy, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

454889-1 Issued in NY

Practice address

6301 Inducon Dr E
Sanborn, NY 14132-9014

Phone

(716) 731-2030

NPI assigned

Jun 24, 2008

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

Credentials

Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Horizon Health Services

  • Substance Abuse Rehabilitation Facility
  • Sanborn, NY
  • NPI 1326344409
  NPD (past)
• Horizon Village

  • Substance Abuse Rehabilitation Facility
  • Sanborn, NY
  • NPI 1902063522
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1255592010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152814",
            "telephone_number": "716-831-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 INDUCON DR E",
            "city": "SANBORN",
            "state": "NY",
            "postal_code": "141329014",
            "telephone_number": "716-731-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCHY",
        "first_name": "KEITH",
        "middle_name": "GORMAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "454889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Carol Ferrari, P.T.
• Bessie Marie Fitzgerald
• Jennifer C Fratello
• Anna Frey
• Scott Gregory
• Taylor Ann Gutierrez
• Amy Elizabeth Hansen, MA-SLP-CCC
• Leanna Alexis Harkola, PA
• Ashton Elizabeth Rose Hasenstab
• Mary Eileen Heim, PHYSICAL THERAPIST

• Addiction (Substance Use Disorder) Registered Nurse in Sanborn, NY
• Providers in Sanborn, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.