NPIMap

Organization Active NPI

Thomas R Gruszynski MD Inc

  • Obstetrics & Gynecology Physician
  • South Bend, IN
National Provider Identifier
1578756060
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1023429A Issued in IN
Legal business name
THOMAS R GRUSZYNSKI MD INC
Practice address
621 Memorial Drive
Suite 616
South Bend, IN 46601
Phone
(574) 234-2128
Fax
(574) 234-4775
NPI assigned
Aug 20, 2007
Last updated
Oct 28, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
THOMAS R GRUSZYNSKI MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas R Gruszynski, MDNPI 1083721310
Title
Physician
Phone
(574) 234-2128

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C1023429A IN Primary

Addresses

Primary practice location

621 Memorial Drive
Suite 616
South Bend, IN 46601

Mailing address

621 Memorial Drive
Suite 616
South Bend, IN 46601
Phone (574) 234-2128

National Provider Directory

National Provider Directory
Part of
Thomas R Gruszynski MD Inc

Locations

621 Memorial Dr
Ste 616
South Bend, IN 46601
Phone (219) 234-2128

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193529600000",
    "number": "1578756060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DRIVE",
            "address_2": "SUITE 616",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46601",
            "telephone_number": "574-234-2128",
            "fax_number": "574-234-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DRIVE",
            "address_2": "SUITE 616",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46601",
            "telephone_number": "574-234-2128",
            "fax_number": "574-234-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R GRUSZYNSKI MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THOMAS R GRUSZYNSKI MD INC",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-10-28",
        "status": "A",
        "authorized_official_last_name": "GRUSZYNSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "574-234-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "C1023429A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.