DR. JAMES GROVENBURG (NPI# 1710022447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710022447 |
| Entity Type | Individual |
| Full Name | DR. JAMES GROVENBURG |
| Credential | MD |
| Practice Address |
5 Golden Ln Kerhonkson NY 12446-1609 |
| Mailing Address |
5 Golden Lane Kerhonkson NY 12446 |
| Practice Telephone | 8456263424 |
| Practice Fax Number | 8456264627 |
| Mailing Telephone | 8456263424 |
| Mailing Fax Number | 8456264627 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
181048-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01805201 | 05 |
| Street Address |
5 GOLDEN LN |
| City | KERHONKSON |
| State | NY |
| Zip Code | 12446-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275691180 | Lucinda Grovenburg | Family Medicine | 5 Golden Ln, Kerhonkson, NY 12446-1609 | 2006-12-04 |
| 1073701579 | Tabasco Family Practice Pllc | Family Medicine | 5 Golden Ln, Kerhonkson, NY 12446-1609 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256915 | Jennifer Suzanne Graham | Registered Nurse | 51 Leg Horn Rd, Kerhonkson, NY 12446 | 2017-07-03 |
| 1609186683 | Irene Mchugh | Registered Nurse | 7058 Rte 209, Kerhonkson, NY 12446 | 2010-10-08 |
| 1578618740 | Catskill Pharmacy Inc | Pharmacy | 6401 Rt 209 Us Highway, Kerhonkson, NY 12446 | 2007-01-25 |
| 1730234758 | William Joseph Redding | Dentist | 6360 Route 209, Kerhonkson, NY 12446 | 2007-01-23 |
| 1861580326 | Ulster Family Medicine, LLP | Family Medicine | Lower Granite Road, Kerhonkson, NY 12446 | 2006-10-10 |
| 1417062241 | Walter Stephen Dobushak | Family Medicine | 130 Krum Rd, Pob 720, Kerhonkson, NY 12446 | 2006-08-20 |
| 1356780159 | Joan Marie Schade | Case Manager/Care Coordinator | 1 Hamilton Dr, Kerhonkson, NY 12446 | 2013-06-14 |
| 1043346042 | Fransiscus Xaverius Dds, Pllc | Dentist | 12 Sheldon Drive, Kerhonkson, NY 12446 | 2007-02-26 |
| 1679660914 | Harriet S Loizeaux | Nurse Practitioner | 130 Krum Rd, Kerhonkson, NY 12446 | 2006-10-06 |
| 1295837680 | Sanford Michael Rubinstein | Dentist | 12 Sheldon Drive, Kerhonkson, NY 12446-0237 | 2006-09-05 |
| Find all providers in zip 12446 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275691180 | Lucinda Grovenburg | Family Medicine | 5 Golden Ln, Kerhonkson, NY 12446-1609 | 2006-12-04 |
| 1073701579 | Tabasco Family Practice Pllc | Family Medicine | 5 Golden Ln, Kerhonkson, NY 12446-1609 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921957 | Titan Primary Care, Inc | Family Medicine | 3753 90th St Ste 11, Jackson Heights, NY 11372-7879 | 2020-08-05 |
| 1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
| 1548820608 | Cs Medical Associates, P.C. | Family Medicine | 727 N Broadway Ste B1, Massapequa, NY 11758-2348 | 2019-06-19 |
| 1992210231 | Cs Medical Associates, PC | Family Medicine | 100 Granny Road, Suite 2, Farmingville, NY 11738 | 2017-12-08 |
| 1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
| 1457771842 | Gary Demara | Family Medicine | 220 Tom Miller Rd, Plattsburgh, NY 12901-6427 | 2014-04-24 |
| 1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
| 1710123963 | Fred William Marcus | Family Medicine | 770 Jericho Tpke, Syosset, NY 11791-4516 | 2008-12-17 |
| 1740447101 | Bernard Charles Borkowski | Family Medicine | 2025 Kenneth Rd, Merrick, NY 11566-5508 | 2008-05-21 |
| 1023280740 | Charles Pouponneau | Family Medicine | 147-20 Archer Avenue, Jamaica, NY 11435 | 2008-04-02 |
| Find all providers with the same taxonomy | ||||
| City | KERHONKSON |
| Zip Code | 12446 |
Please comment or provide details below to improve the information on DR. JAMES GROVENBURG.
| 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.