NPIMap

Individual provider Active NPI

Richard L Grunden, MD

  • Family Medicine Physician
  • Marietta, PA
National Provider Identifier
1639336167
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD441932 Issued in PA
Practice address
1159 River Rd
Marietta, PA 17547-1628
Phone
(717) 426-1131
Fax
(717) 426-2068
NPI assigned
May 21, 2008
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT192783 PA
Family Medicine Physician 207Q00000X MD441932 PA Primary

Addresses

Primary practice location

1159 River Rd
Marietta, PA 17547-1628

Mailing address

1159 River Rd
Marietta, PA 17547-1628
Phone (717) 426-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000611 PA Practitioner - Family Practice 6507036415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT192783PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group Family Medicine CurrentSince Aug 15, 2011 Accepting new patients
Lancaster General Medical Group CurrentSince Aug 15, 2011 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1159 River Rd
Marietta, PA 17547
Phone (717) 426-1131

1159 River Rd
#F
Marietta, PA 17547
Phone (717) 426-1131

Interoperability endpoints

  • Direct secure messaging: rgrundenmd543@direct-lghealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1639336167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 RIVER RD",
            "city": "MARIETTA",
            "state": "PA",
            "postal_code": "175471628",
            "telephone_number": "717-426-1131",
            "fax_number": "717-426-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 RIVER RD",
            "city": "MARIETTA",
            "state": "PA",
            "postal_code": "175471628",
            "telephone_number": "717-426-1131",
            "fax_number": "717-426-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDEN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT192783",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD441932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, PA

Sources for this page

Verify at the official NPI Registry.