Yellow Springs Primary Care, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

YELLOW SPRINGS PRIMARY CARE, INC

Practice address

888 Dayton St Unit 106
Yellow Springs, OH 45387-1778

Phone

(937) 767-1088

Fax

(937) 767-1022

NPI assigned

Jan 16, 2014

Organization subpart

No

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

Authorized official

Name

Donald Gronbeck, M. D.

Title

Owner

Phone

(937) 767-1088

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1992127500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 106",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-767-1088",
            "fax_number": "937-767-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 DAYTON ST UNIT 106",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871778",
            "telephone_number": "937-767-1088",
            "fax_number": "937-767-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW SPRINGS PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GRONBECK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-767-1088",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35.120593",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yellow Springs Chiropratic II, LLC
• Yellow Springs Dental Care John T Russell DDS Inc.
• Yellow Springs Pharmacy LLC
• Yellow Springs Primary Care, Inc
• Yellow Springs Primary Care, Inc
• Mary K Yelton
• Jane Young, PSY.D.
• Barbara Jean Zulliger, R.PH.

• Rural Health Clinic/Center in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Rural Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.