JENNIFER K GROGAN (NPI# 1053518100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053518100 |
| Entity Type | Individual |
| Full Name | JENNIFER K GROGAN |
| Credential | M.D. |
| Practice Address |
2109 Hughes Dr Ste 200 Toledo OH 43606-3856 |
| Practice Telephone | 4192915150 |
| Practice Fax Number | 4194796173 |
| Mailing Telephone | 4192915150 |
| Mailing Fax Number | 4194796173 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35.092028 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301078288 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2878784 | 05 | |
| RRMC | P00782618 | 01 | |
| AETNA | 9256194 | 01 | |
| PARAMOUNT | 05547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478785 | Jennifer Grogan | Speech-Language Pathologist | 507 Fowler Rd, West Union, SC 29696-3124 | 2020-08-19 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| 1689076465 | Jennifer Grogan | Physical Therapist | 1 Glen Hill Rd, Danbury, CT 06811-4921 | 2014-09-23 |
| Street Address |
2109 HUGHES DR STE 200 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091687 | Michael G Moront | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2109 Hughes Dr, Ste 720, Toledo, OH 43606-5110 | 2005-05-24 |
| 1235757543 | Chang Woo Park | Pediatrics | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-07-13 |
| 1356966311 | Travis Mazur | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-06-15 |
| 1508487331 | Erica Potts | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Jobst Tower, Floor E, Toledo, OH 43606 | 2020-05-04 |
| 1861011371 | Neetan Dhillon | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-04-14 |
| 1558980318 | Megan M Austin | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Conrad Jobst Tower Floor E, Toledo, OH 43606 | 2020-04-13 |
| 1972132355 | Hannah Ashworth | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2020-04-07 |
| 1982253597 | Fedor Lurie | Specialist/Technologist, Other | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2019-09-06 |
| 1528628997 | Alexandra Amelia Lekson | Emergency Medicine | 2109 Hughes Dr, Jobst Tower 3rd Floor, Toledo, OH 43606 | 2019-06-18 |
| 1609436377 | Joseph Alecusan | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr, Toledo, OH 43606-3856 | 2019-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1740710433 | John Leonard Luckoski | Surgery | 3000 Arlington Ave Fl Hall2, Toledo, OH 43614-2595 | 2017-06-14 |
| 1548623556 | Akiko Komura | Surgery | 3000 Arlington Ave # 1095, Toledo, OH 43614-2595 | 2016-03-29 |
| 1780926287 | Mustafa Adnan Al-jubouri | Surgery | 2109 Hughes Dr Ste 220, Toledo, OH 43606-5121 | 2013-03-22 |
| 1720369705 | Ward M Taylor | Surgery | 4117 Partridge Lane, Toledo, OH 43623 | 2011-09-02 |
| 1265753594 | Felix S Boecker | Surgery | 6057 Red Oak Dr, Toledo, OH 43615-1856 | 2010-06-22 |
| 1588624696 | Promedica Central Corporation of Michigan | Surgery | 1 Seagate # 800, Toledo, OH 43604-1558 | 2006-03-23 |
| 1508838913 | Donald B Campbell Md Inc | Surgery | 2109 Hughes, Ste 620, Toledo, OH 43606 | 2006-02-02 |
| 1558362491 | Marwan Ghazoul | Surgery | 2222 Cherry St Ste 1250, Toledo, OH 43608-2687 | 2005-08-02 |
| 1396745410 | Anthony Jay Raimonde | Surgery | 2213 Cherry St Ste Acc 200, Toledo, OH 43608-2603 | 2005-07-29 |
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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.