Thomas J Grube (NPI# 1659328516, PAC ID# 6002844511) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1659328516 |
| PAC ID by PECOS | 6002844511 |
| Professional Enrollment ID | I20050727000097 |
| Full Name | Thomas J Grube |
| Address |
107 3rd Ave Nw Mandan ND 58554-3129 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350002 | CHI ST ALEXIUS HEALTH |
| 350015 | SANFORD MEDICAL CENTER BISMARCK |
| Address | Phone | Organization |
|---|---|---|
| 2273 3 Ave W, Dickinson, ND 58601-2605 | ||
| 107 3rd Ave Nw, Mandan, ND 58554-3129 |
| Street Address |
107 3RD AVE NW |
| City | MANDAN |
| State | ND |
| Zip | 58554-3129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany N Kudrna | Nurse Practitioner | St Alexius Medical Center | 2500 Sunset Dr, Mandan, ND 58554-1540 |
| Scot D Mickelson | Family Medicine | St Alexius Medical Center | 2500 Sunset Dr, Mandan, ND 58554-1540 |
| Sadaf Yousuf | Family Medicine | Sanford Bismarck | 910 18th St Nw, Mandan, ND 58554-1612 |
| Boyd F Addy | Family Medicine | Vibra Physicians LLC | 1000 18th St Nw 2nd and 3rd Floors, Mandan, ND 58554-1612 |
| Brittany Gail Schauer | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Terry D Schmidt | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Daniel C Little | Optometry | Excellent Eyes PC | 107 6th Ave Nw, Vision Source Mandan, Mandan, ND 58554-2609 |
| Joshua S Carter | Chiropractic | Carter Chiropractic PC | 408 1st St Nw A, Carter Chiropractic, Mandan, ND 58554-3118 |
| Chris A Gietzen | Physical Therapy | Dakota Physical Therapy PC | 606 1st St Nw, Mandan, ND 58554-3121 |
| Francisco Tello | Podiatry | 606 1st St Nw, Mandan, ND 58554-3121 | |
| Find all physicians in zip 58554 | |||
| City | MANDAN |
| Zip Code | 58554 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MANDAN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Thomas J Grube.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.