Active NPI
Amy Christina Gruszecki, DO
- Forensic Pathology Physician
- Mesquite, TX
National Provider Identifier
1942483870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- M1121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M1121 | TX | MD | Forensic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NRT Laboratories, LLC | Current | 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.