James Richard Gruenewald, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

111 E Wisconsin Ave Ste 2100
Milwaukee, WI 53202-4809

Phone

(414) 290-6700

Fax

(414) 290-6781

NPI assigned

Jan 24, 2011

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

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• St Clare Memorial Hospital, Inc

  • Critical Access Hospital
  • Oconto Falls, WI
  • NPI 1851477913
  Medicare reassignment NPD
• Vituity-Wisconsin Em SC

  • Emergency Medicine Physician
  • Pleasant Prairie, WI
  • NPI 1326730664
  Medicare reassignment
• Ihc-Telehealth LLC

  • Emergency Medicine Physician
  • Milwaukee, WI
  • NPI 1083140503
  NPD
• St. Clare Memorial Hospital, Inc.

  dba HSHS SCO Regional Surgery Center Green Bay

  • Surgery Physician
  • Green Bay, WI
  • NPI 1093173791
  NPD
• Vituity-Wisconsin Em SC

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1558138255
  NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  NPD (past)
• Health Dynamics, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Milwaukee, WI
  • NPI 1255389581

  Physician Assistant

  NPD (past)
• Mercy Health System Corporation

  dba Mercy Hospital Janesville

  • General Acute Care Hospital
  • Janesville, WI
  • NPI 1093768962
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1750686796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6700",
            "fax_number": "414-290-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE STE 2100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024809",
            "telephone_number": "414-290-6700",
            "fax_number": "414-290-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENEWALD",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Grozman-Aquino, PT
• Carter Riley Gruber, MS, LPC-IT
• Dean Matthew Gruber, RPH
• Milosh Grubor, M.D.
• Robert A Gruenberg, PSY.D.
• Penny Lue Gruettner, R.D.
• Brenda J Grulke, LPC
• Clement M Grum, M.D.
• John T. Grum, M.D.
• Karen Elizabeth Grumstrup, NURSE PRACTITIONER

• Physician Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.