David R Grube, M.D.
Individual provider Active NPI Family Medicine Physician · Philomath, OR
NPI 1922058817 · NPPES record last updated Jun 5, 2009
Key facts
- NPI
- 1922058817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD10373 (OR)
- Practice address
- 1219 Applegate
Philomath, OR 97370 - Phone
- (541) 929-2922
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philomath Family Medicine, P.C. | Past | Accepting new patients | |
| The Corvallis Clinic P C | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10373 | OR | Yes |
Addresses
Primary practice location
1219 Applegate
Philomath, OR 97370
Mailing address
444 NW Elks Dr
Corvallis, OR 97330-3745
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073262 | Medicaid | OR |
Other providers in Philomath, OR
- Glasridge Ventures, LLC
- Lauren A Gray
- Jeanne A. Gregg
- Janda Anita Grigsby
- Sophie Grow
- Andrew Halstead
- Brittney Doreen Hamilton
- Hands-on Healthcare Chiropractic, PC
- Ronnie Louise Hansen
- Healing Motion Physical Therapy, Inc.
All providers in Philomath, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.