Penny Toshie Grunder, RPSGT

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

4364 7TH St
Moline, IL 61265-6867

Phone

(866) 235-6763

Fax

(309) 762-2919

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Braaten Health LLC

  dba Moline Rem Center

  • Other Specialist/Technologist
  • Moline, IL
  • NPI 1124241146
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790705903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27144 LEVI LN",
            "city": "PRINCETON",
            "state": "IA",
            "postal_code": "527689711",
            "telephone_number": "563-940-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "866-235-6763",
            "fax_number": "309-762-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDER",
        "first_name": "PENNY",
        "middle_name": "TOSHIE",
        "credential": "RPSGT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan L Greene
• Justina Greer, CD(DONA), CLC, SBD
• Gretchen L. Cromer, MD PC
• Gale Rene' Griffith, PT
• Krista Grizzle
• Gloria Maria Guillen, PMHNP-BC
• Eirik Gustafson
• Jasmine Guy
• Linda C Haessler, P.A.-C.
• Yolla Haibe, MD

• Electroneurodiagnostic Specialist/Technologist in Moline, IL
• Providers in Moline, IL by specialty
• Electroneurodiagnostic Specialist/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.