Joachim Gruber, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37236 Issued in KY

Practice address

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Phone

(877) 783-6257

NPI assigned

Aug 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Boston University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667
  Medicare reassignment Care Compare group NPD
• Elizabethtown Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Elizabethtown, KY
  • NPI 1528003316
  Medicare reassignment NPD
• Medycus Staffing PLLC

  dba Thoroughbred Emergency Services

  • Emergency Medicine Physician
  • Cynthiana, KY
  • NPI 1437859162
  Medicare reassignment NPD
• Harrison Memorial Hospital

  • Clinic/Center
  • Cynthiana, KY
  • NPI 1386783868
  NPD
• Harrison Memorial Hospital

  dba HMH Primary Care

  • Rural Health Clinic/Center
  • Cynthiana, KY
  • NPI 1588237150
  NPD
• Parke Physicians PLLC

  • Emergency Medicine Physician
  • Cynthiana, KY
  • NPI 1225421126
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Owensboro Health Twin Lakes Regional Medical Center, Inc

  dba Owensboro Health Twin Lakes Medical Center

  • General Acute Care Hospital
  • Leitchfield, KY
  • NPI 1285221416
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1265546576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950112",
            "address_2": "DEPT. #52387",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950112",
            "telephone_number": "888-400-8870",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N DIXIE AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012503",
            "telephone_number": "877-783-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "JOACHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "37236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64047285",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory D. Smith
• Jenny L Grimes, RN, MSN, CNOR, CSFA
• Delacey Groves
• Cathy R Grubbs, O.T.
• Jaila Grubbs
• Amanda Renee Guarneros, MHA
• Regan Lindsay Guenther, APRN
• April Guillaume, O.T.R./L.
• Lisa M. Gunn-Beshears, ARNP, FNP-BC
• Jerrina Gusler, APRN

• Emergency Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.