DR. COREY NATHANIAL GROH


Address: 211 N Eddy St, South Bend, IN 46617-2808
Phone: 5742599668

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
41000274A IN Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 211 N EDDY ST
City SOUTH BEND
State IN
Zip Code 46617-2808

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SOUTH BEND
Zip Code 46617

Improve Information

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Dataset Information

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.

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