Marta Gryniuk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35072645 Issued in OH

Practice address

1510 Columbus Ave
Suite 230
Washington Court House, OH 43160-1899

Phone

(740) 333-3333

Fax

(740) 333-5171

NPI assigned

Jun 16, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgryniuk@yourcarecommunity.org
• Direct secure messaging: mgryniuk1066396@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  Internal Medicine

  Medicare reassignment NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1538164595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE B 6-7-8",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COLUMBUS AVE",
            "address_2": "SUITE 230",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601899",
            "telephone_number": "740-333-3333",
            "fax_number": "740-333-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYNIUK",
        "first_name": "MARTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062986",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martagryniuk@fcmhms.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany J Glover, LPN
• Kelly Lynn Gonzalez
• Kari Lee Gorman, LPN
• Granville Dental - M.Alexandrunas, D.M.D., Inc.
• Ashley Groves, CDCA
• David J Gunderman, MD
• Stacia Guthrie, MA, CCC-SLP
• Nanci K Haecker, C.N.P
• Kimberly Hall
• Lisa P Hall, RD

• Internal Medicine Physician in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.