Active NPI
Marc Grushan, M.D.
- Family Medicine Physician
- Lafayette, CO
National Provider Identifier
1316032071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32743
- Practice address
- 2593 Park LN
Lafayette, CO 80026-3172 - Phone
- (303) 665-0115
- Fax
- (303) 415-3470
- NPI assigned
- Oct 4, 2006
- Last updated
- May 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32743 | CO | Primary |
Addresses
Primary practice location
2593 Park LN
Lafayette, CO 80026-3172
Mailing address
2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32743 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru Community Care | Past | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| HCA-Healthone, LLC | Past | Accepting new patients | |
| HCA-Healthone, LLC Dba Rose Family Medicine Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Clinica Family Health
- Clinic/Center
- Boulder, CO
- NPI 1184613234
-
- Family Medicine Physician
- Denver, CO
- NPI 1558402933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1316032071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2594 TRAILRIDGE DR E",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263186",
"telephone_number": "303-449-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 PARK LN",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263172",
"telephone_number": "303-665-0115",
"fax_number": "303-415-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSHAN",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2022-05-26",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "32743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.