Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD029694E | PA |
Y | 207RH0003X | Hematology & Oncology | MD029694E | PA |
N | 207RX0202X | Medical Oncology | MD029694E | PA |
NPI | 1427033455 |
---|---|
Provider Name | Dr. Jeffrey Francis Gryn |
First Address | Dunmore, PA 18512-3169 |
Second Address | Dunmore, PA 18512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 01/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000152639 | UNISON MEDPLUS (01) | |
000000351803 | ANTHEM BCBS (01) | OH |
000927308 | ION HEALTH MEDICAID HMO (01) | PA |
0009273080005 | (05) | PA |
0009273080006 | (05) | PA |
1508424 | GATEWAY (01) | PA |
2455418 | (05) | OH |
3503772 | AETNA PIN FOR HMOS (01) | |
4356942 | AETNA PIN FOR PPOS (01) | |
84400692 | CIGNA (01) | |
C34153 | (02) | |
C34153 | HEALTH AMERICA PIN (01) | |
GR438116 | HIGHMARK BCBS PIN (01) | |
P0096493 | RAILROAD MEDICARE (01) |