Organization Active NPI

Carol L Gruver MD PC

  • Cardiovascular Disease Physician
  • Chattanooga, TN
National Provider Identifier
1891910691
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28211 Issued in TN
Legal business name
CAROL L GRUVER MD PC
Practice address
2205 McCallie Ave
Chattanooga, TN 37404-3230
Phone
(423) 698-2435
Fax
(423) 697-6110
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Carol L Gruver, MD
Title
Owner
Phone
(423) 698-2435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 28211 TN Primary

Addresses

Primary practice location

2205 McCallie Ave
Chattanooga, TN 37404-3230

Mailing address

PO Box 11483
Chattanooga, TN 37401-2483
Phone (423) 698-2435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1891910691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11483",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012483",
            "telephone_number": "423-698-2435",
            "fax_number": "423-697-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043230",
            "telephone_number": "423-698-2435",
            "fax_number": "423-697-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L GRUVER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "GRUVER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-698-2435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "28211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.