Active NPI
Jonathon Gruneich LLC
- Anesthesiology Physician
- Prescott, AZ
National Provider Identifier
1467907022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JONATHON GRUNEICH LLC
- Practice address
- 815 Ainsworth Dr
Prescott, AZ 86301-1631 - Phone
- (928) 778-9770
- NPI assigned
- Aug 23, 2016
- Last updated
- Aug 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathon Gruneich, MD
- Title
- Sole Member
- Phone
- (419) 603-2717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
815 Ainsworth Dr
Prescott, AZ 86301-1631
Mailing address
PO Box 20610
Mesa, AZ 85277-0610
Phone (480) 985-1093
National Provider Directory
National Provider DirectoryLocations
815 Ainsworth Dr
Prescott, AZ 86301
Phone (928) 445-2700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Oneida, NY
- NPI 1700993607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471910400000",
"number": "1467907022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20610",
"city": "MESA",
"state": "AZ",
"postal_code": "852770610",
"telephone_number": "480-985-1093",
"fax_number": "480-985-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 AINSWORTH DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011631",
"telephone_number": "928-778-9770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHON GRUNEICH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-23",
"last_updated": "2016-08-23",
"status": "A",
"authorized_official_last_name": "GRUNEICH",
"authorized_official_first_name": "JONATHON",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "419-603-2717",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.