Individual provider Active NPI

Amy Christina Gruszecki, DO

  • Forensic Pathology Physician
  • Mesquite, TX
National Provider Identifier
1942483870
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
M1121 Issued in TX
Practice address
2452 US Highway 80 E
Ste 100
Mesquite, TX 75149-1204
Phone
(214) 221-2700
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X M1121 TX Primary

Addresses

Primary practice location

2452 US Highway 80 E
Ste 100
Mesquite, TX 75149-1204

Mailing address

PO Box 550846
Dallas, TX 75355-0846
Phone (214) 221-2700

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
M1121TXMDForensic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NRT Laboratories, LLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

2452 US Highway 80 E
Ste 100
Mesquite, TX 75149
Phone (214) 221-2700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1942483870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753550846",
            "telephone_number": "214-221-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 US HIGHWAY 80 E",
            "address_2": "STE 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491204",
            "telephone_number": "214-221-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSZECKI",
        "first_name": "AMY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TX",
            "license": "M1121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.