THOMAS R GRUSZYNSKI MD INC (NPI# 1578756060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578756060 |
| Entity Type | Organization |
| Organization Name | THOMAS R GRUSZYNSKI MD INC |
| Practice Address |
621 Memorial Drive Suite 616 South Bend IN 46601 |
| Practice Telephone | 5742342128 |
| Practice Fax Number | 5742344775 |
| Mailing Telephone | 5742342128 |
| Mailing Fax Number | 5742344775 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-10-28 |
| Authorized Official Name | DR. THOMAS R GRUSZYNSKI (PHYSICIAN) |
| Authorized Official Telephone | 5742342128 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THOMAS R GRUSZYNSKI MD INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C1023429A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
621 MEMORIAL DRIVE SUITE 616 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547402 | Ismail Al-ani | Specialist | 621 Memorial Drive, Suite512, South Bend, IN 46601-1074 | 2005-12-05 |
| 1093912180 | Charbel F Maskiny | Internal Medicine | 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 | 2007-07-02 |
| 1124141346 | Pulmonary & Critical Care Associates, PC | Specialist | 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 | 2007-04-10 |
| 1629052543 | Matthew Francis Koscielski | Specialist | 621 Memorial Drive, Suite 512, South Bend, IN 46601-1074 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714549 | Zhiquan Zhao | Obstetrics & Gynecology | 6301 University Commons Ste 310, Ob/gyn Office, South Bend, IN 46635-1479 | 2007-05-30 |
| 1669424792 | Christopher S Norborg | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2006-05-17 |
| 1598739492 | Elaine Marie Carroll | Obstetrics & Gynecology | 100 Navarre Pl Ste 4410, South Bend, IN 46601 | 2006-02-15 |
| 1174503866 | Ted M. Roth | Obstetrics & Gynecology | 621 Memorial Dr Ste 302, South Bend, IN 46601-1073 | 2006-01-19 |
| 1508857806 | Ilana Tamir Kirsch | Obstetrics & Gynecology | 6301 University Commons Ste 210, South Bend, IN 46635 | 2005-11-04 |
| 1477903391 | Mackenzie Austgen | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2016-06-22 |
| 1497146252 | Donna Joan Harrison | Obstetrics & Gynecology | 6301 University Commons, Suite 310, South Bend, IN 46635-1571 | 2015-02-13 |
| 1386063345 | Erin Hendricks Krizman | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635 | 2014-04-07 |
| 1043654361 | Sara A Baumgartner | Obstetrics & Gynecology | 6301 University Commons Ste 310, South Bend, IN 46635-1479 | 2013-04-18 |
| 1164764890 | Jessica Marie Basham | Obstetrics & Gynecology | 515 N Lafayette Blvd, South Bend, IN 46601-1003 | 2013-03-20 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.