KEVIN J GROGAN (NPI# 1477636868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477636868 |
| Entity Type | Individual |
| Full Name | KEVIN J GROGAN |
| Credential | C-PED |
| Practice Address |
3330 Asbury Rd Dubuque IA 52002-2900 |
| Practice Telephone | 5635571651 |
| Practice Fax Number | 5635570073 |
| Mailing Telephone | 5635571651 |
| Mailing Fax Number | 5635570073 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NONE | IA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0264473 | 05 |
| Street Address |
3330 ASBURY RD |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877560 | Mandy Erpelding | Specialist | 3500 Dodge St Ste 105, Dubuque, IA 52003-5208 | 2020-03-26 |
| 1144536988 | Erin Donovan | Specialist | 3413 Crescent Rdg, Dubuque, IA 52003-5234 | 2010-08-30 |
| 1639142805 | Lawrence Ronald Hutchison | Specialist | 3375 Lake Ridge Dr, Dubuque, IA 52003-7864 | 2006-02-08 |
| 1588652416 | George Behnam Isaac | Specialist | 2140 John F Kennedy Rd, Suite B, Dubuque, IA 52002-3883 | 2005-10-13 |
| 1871830018 | Tina Lee Shade | Specialist | 2255 Jfk Rd, Dubuque, IA 52002-2846 | 2013-01-08 |
| 1861678369 | Amy Jo Steinback | Specialist | 2255 Jfk Rd, Asbury Square, Dubuque, IA 52002-2846 | 2008-01-14 |
| 1689860504 | Dubuque Dermatology P.C. | Specialist | 2140 Jfk Rd, Suite A, Dubuque, IA 52002-3883 | 2007-09-25 |
| 1154533446 | Joan Marie Knockel | Specialist | 2255 John F Kennedy Rd, Asbury Square, Dubuque, IA 52002-2846 | 2007-05-07 |
| 1609090695 | Amy Marie Greener | Specialist | 2000 Pasadena Dr, Dubuque, IA 52001-0808 | 2007-04-12 |
| 1326009341 | Pines Healthcare for Women | Specialist | 2100 Asbury Rd, Dubuque, IA 52001-3091 | 2006-03-29 |
| Find all providers in DUBUQUE | ||||
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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.