Christina Marie Grucella, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD16083 Issued in OR

Practice address

1510 Division St Ste 280
Oregon City, OR 97045-2550

Phone

(503) 905-3400

NPI assigned

Jul 31, 2006

Sex

Female

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)

Not 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.

• Pediatric Evening Care, LLC

  • Pediatrics Physician
  • Oregon City, OR
  • NPI 1588163844
  NPD Authorized official
• Willamette Falls Pediatric Group

  • Pediatrics Physician
  • Oregon City, OR
  • NPI 1629103361
  NPD Authorized official
• Willamette Falls Pediatric Group, PC

  • Pediatrics Physician
  • Canby, OR
  • NPI 1528220936
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528073020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SE 56TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 DIVISION ST STE 280",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452550",
            "telephone_number": "503-905-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUCELLA",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD16083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025523",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Griggs, PA-C
• Lindsey Nicole Griggs
• Jessie Grimmer, DPT
• Justine Marie Grimmett, RN
• Autumn Grube
• Gso Equipment Corp
• Jessica Jasmine Guarrera
• Brett Matthew Gudgel, M.D.
• Kristin Cegelka Guelsdorf, LCSW
• Christine Guenzi, MD

• Pediatrics Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.