Provider Demographics
NPI:1497732705
Name:GRUBBS, DAVID SCHULER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCHULER
Last Name:GRUBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:K15 OMEGA DR, SUITE 5
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-738-7303
Mailing Address - Fax:302-738-7308
Practice Address - Street 1:K15 OMEGA DR, SUITE 5
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-738-7303
Practice Address - Fax:302-738-7308
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-28
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10003022207RC0000X
DEC1-0003022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000312501Medicaid
DE060069291OtherRAILROAD MEDICARE
DE417709OtherMAMSI/OPTIMUM CHOICE
DE174289OtherCOVENTRY
DE4203484OtherAETNA
DE0504717000OtherINDEPENDENCE BLUE CROSS
DE0504717000OtherAMERIHEALTH
DE1417360006OtherCIGNA
DE000671547OtherAMERIHEALTH ADMINISTRATOR
DE043658514OtherBLUE CROSS OF DELAWARE
DE2751456OtherAETNA HMO
DE00B247D23Medicare ID - Type Unspecified
DE417709OtherMAMSI/OPTIMUM CHOICE
DE4203484OtherAETNA