DR. COREY NATHANIAL GROH (NPI# 1386909349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386909349 |
Entity Type | Individual |
Full Name | DR. COREY NATHANIAL GROH |
Credential | D.P.M. |
Practice Address |
211 N Eddy St South Bend IN 46617-2808 |
Practice Telephone | 5742599668 |
Practice Fax Number | 5742599671 |
Mailing Telephone | 5742599668 |
Mailing Fax Number | 5742599671 |
Enumeration Date | 2012-07-05 |
Last Update Date | 2015-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
41000274A | IN | Podiatric Medicine & Surgery Service Providers |
Street Address |
211 N EDDY ST |
City | SOUTH BEND |
State | IN |
Zip Code | 46617-2808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073511598 | Ron Clark | Orthopaedic Surgery | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-07-08 |
1760082002 | Nicole A Scheidler | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2020-10-27 |
1205473451 | Integrative Care Partners LLC | Specialist | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-12-06 |
1144882069 | Briana R Weidler-edholm | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-07-01 |
1861052029 | Suzanne Marie Holmes | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
1609436864 | Philip D Dibert | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2019-06-19 |
1851865174 | Jessica S Evans | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-01-21 |
1467929570 | Sabrina Jovita Lopez | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-26 |
1326515701 | Kara L Kaiser | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-2808 | 2018-10-24 |
1962902254 | Sarah Sue Humes | Registered Nurse | 211 N Eddy St, South Bend, IN 46617 | 2018-02-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
Find all providers in zip 46617 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346510500 | Michiana Foot Care Clinic L.l.c | Podiatrist | 723 E Jefferson Blvd, South Bend, IN 46617-2902 | 2012-01-05 |
1942244660 | Julie A Wieger | Podiatrist | 3506 S Michigan St, South Bend, IN 46614-1728 | 2006-06-15 |
1063412526 | Kathleen T Neuhoff | Podiatrist | 727 E Jefferson Blvd, South Bend, IN 46617-2902 | 2005-07-27 |
1154838498 | Kathleen Toepp Neuhoff, Dpm, LLC | Podiatrist | 727 E Jefferson Blvd, South Bend, IN 46617-2902 | 2018-01-09 |
1770805491 | Julie A Wieger Dpm PC | Podiatrist | 3506 S Michigan St, South Bend, IN 46614 | 2010-02-22 |
1295066546 | South Side Foot and Ankle Clinic | Podiatrist | 3506 S Michigan St, South Bend, IN 46614-1728 | 2010-01-27 |
1750532651 | Carolyn Neuhoff Cole | Podiatrist | 727 E Jefferson Blvd, South Bend, IN 46617-2902 | 2008-10-09 |
1487813580 | Scott Medinvestment Group, LLC | Podiatrist | 3903 Portage Rd, Suite C #161, South Bend, IN 46628-6191 | 2008-06-03 |
1770522989 | Sandra A Cho | Podiatrist | 3575 Portage Ave, South Bend, IN 46628-6092 | 2006-06-05 |
1174505804 | Matthew W. Dinnon | Podiatrist | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2005-11-17 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46617 |
Please comment or provide details below to improve the information on DR. COREY NATHANIAL GROH.
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.