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DR. TIMOTHY GUY GRUBE D.O. NPI 1194720870

NPI Profile

NPI: 1194720870

Provider Name: DR. TIMOTHY GUY GRUBE, D.O.

Classification: Obstetrics & Gynecology - 207V00000X

Entity Type: Individual

Organization: INTEGRATED MEDICAL GROUP, P.C.

PECOS Registration: Yes

Address:
219 S BALLIET ST
FRACKVILLE, PA
ZIP 17931

Phone: (570) 874-3404

DR. Timothy Guy Grube, D.O. is an OB/GYN physician in Frackville, PA with 20 years of experience. The provider is 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. DR. Timothy Guy Grube, D.O. NPI is 1194720870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1995

The provider's business location address is:

219 S BALLIET ST
FRACKVILLE, PA
ZIP 17931-105
Phone: (570) 874-3404
Fax: (570) 874-1491

The NPI 1194720870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 9/10/2014.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207V00000X Obstetrics & Gynecology OS009280L PENNSYLVANIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2015