Active NPI
Carol L Gruver MD PC
- Cardiovascular Disease Physician
- Chattanooga, TN
National Provider Identifier
1891910691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 28211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryNPI 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.