Paul G Gruca, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301036614 Issued in MI

Practice address

1335 Pine Ave
Alma, MI 48801-1242

Phone

(989) 463-2181

Fax

(989) 463-1713

NPI assigned

Jul 9, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1467485532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-2181",
            "fax_number": "989-463-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-2181",
            "fax_number": "989-463-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCA",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301036614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101288883",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Alexis Grimm, PHARMD
• Rachel Grinnell
• Phareena Gross
• Billy Leroy Grossett II
• Traci Lynn Grube
• Victor Guajardo
• Caitlyn Gutierrez, LLPC
• Olivia Guziejko, OTRL
• Aleta Anne Haase
• Michelle R Haggart, MSW, LMSW

• Family Medicine Physician in Alma, MI
• Providers in Alma, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.