Malachi Gruenhagen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

393748 Issued in OH

Practice address

4129 E Galbraith Rd
Deer Park, OH 45236-2417

Phone

(513) 686-7809

NPI assigned

Sep 21, 2023

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

Other names 1

• Paul Travis Abel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1538947312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 VERA AVE APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452374577",
            "telephone_number": "513-388-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 E GALBRAITH RD",
            "city": "DEER PARK",
            "state": "OH",
            "postal_code": "452362417",
            "telephone_number": "513-686-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENHAGEN",
        "first_name": "MALACHI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "393748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE ISSUED BY OHIO BOARD OF NURSING",
            "identifier": "393748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "ABEL",
            "middle_name": "TRAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin Bishop
• Erina Teresa Emerson, FNP
• Christopher L Frederick, RPH
• Jane Hague, CNP
• Donte Micah Horton
• Tim M Litmer, RPH
• My Sister'S Garden
• Kathy Darlene Springer, RPH

• Registered Nurse in Deer Park, OH
• Providers in Deer Park, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.