Stephen Gruba, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25322 Issued in IA

Practice address

601 Rosary Dr
Corning, IA 50841-1683

Phone

(641) 322-5245

Fax

(641) 322-4687

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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.

• Alegent Health - Mercy Hospital, Corning, Iowa

  • Rural Health Clinic/Center
  • Lenox, IA
  • NPI 1285715870
  NPD (past)
• Alegent Creighton Health

  • Body Imaging Physician
  • Omaha, NE
  • NPI 1417975483
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2011.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1407906407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642117",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681648117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROSARY DR",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "508411683",
            "telephone_number": "641-322-5245",
            "fax_number": "641-322-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBA",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Robert H. Sharp, P.C.
• Eye Care Associates of Co, LLC
• Steven Allen Freeman, MD
• Fuller Family Dental, PLC
• Greater Regional Medical Center
• Hy-Vee Inc
• Zachary E Johnson, DDS
• John T King, DDS
• Megan King, RD, LD
• September D. King, T-LMHC

• All providers in Corning, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.