Individual provider Active NPI

Stephen S Grubbs, MD

  • Medical Oncology Physician
  • Newark, DE
National Provider Identifier
1841268927
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
C10001933 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Suite 2200
Newark, DE 19713-2055
Phone
(302) 366-1200
Fax
(302) 366-1700
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X C10001933 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Suite 2200
Newark, DE 19713-2055

Mailing address

4701 Ogletown Stanton Rd
Suite 2200
Newark, DE 19713-2055
Phone (302) 366-1200

Other identifiers 1

IdentifierTypeStateIssuer
0000049301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10001933DEMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1841268927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "DE",
            "license": "C10001933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000049301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.