STEVEN DAVID GROB (NPI# 1861415556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861415556 |
| Entity Type | Individual |
| Full Name | STEVEN DAVID GROB |
| Credential | D.C. |
| Practice Address |
1057 Poquonnock Rd Groton CT 06340-4220 |
| Practice Telephone | 8604454148 |
| Practice Fax Number | 8604491375 |
| Mailing Telephone | 8604454148 |
| Mailing Fax Number | 8604491375 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 000397 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ASHN | 1031257 | 01 |
| CT | TRIAD/OXFORD | NLS066 | 01 |
| CT | ANTHEM BLUE CROSS | 05000397CT01 | 01 |
| CT | AETNA | 4569279 | 01 |
| CT | CAQH | 10443909 | 01 |
| CT | UNITED HEALTHCARE | 44-00115 | 01 |
| CT | LANDMARK/HEALTHNET | OV4644 | 01 |
| CT | ACN | 070213 | 01 |
| Street Address |
1057 POQUONNOCK RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291991 | Integrity Natural Medicine LLC | Naturopath | 1057 Poquonnock Rd, Groton, CT 06340-6630 | 2017-01-09 |
| 1902349210 | Alyssa Annello | Naturopath | 1057 Poquonnock Rd, Groton, CT 06340-6630 | 2016-11-18 |
| 1801086889 | Lynn M Gagner | Chiropractor | 1057 Poquonnock Rd, Groton, CT 06340-6630 | 2007-07-26 |
| 1063598316 | Ann Elisa Wratchford | Registered Nurse | 1057 Poquonnock Rd, Suite 1, Groton, CT 06340-6630 | 2006-10-30 |
| 1710076419 | Paula M Mekkelsen | Social Worker | 1057 Poquonnock Rd, Groton, CT 06340-6630 | 2006-10-12 |
| 1659462307 | Groton Chiropractic Center, LLC | Chiropractor | 1057 Poquonnock Rd, Groton, CT 06340-4220 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899845 | Nadia Shipper | Chiropractor | 1353 Gold Star Hwy Ste 106, Groton, CT 06340-2755 | 2019-03-04 |
| 1336363910 | Kim Ellen Pollack | Chiropractor | 76 Fort Hill Rd, Groton, CT 06340-4333 | 2007-04-13 |
| 1356431738 | Carol Jean Mcfarland-kutter | Chiropractor | 1205 North 1st. Street, Groton, SD 57445-0199 | 2006-10-13 |
| 1326697046 | Howard Christopher Rosas | Chiropractor | 1353 Gold Star Hwy Ste 106, Groton, CT 06340 | 2019-09-05 |
| 1184282766 | Robert Barnett D.c. LLC | Chiropractor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2019-05-30 |
| 1902331242 | Lauren Yeager | Chiropractor | 300 Main St, Groton, MA 01450-1379 | 2017-04-24 |
| 1952692592 | Integrated Health and Performance LLC | Chiropractor | 1353 Gold Star Hwy, Suite 106, Groton, CT 06340-2739 | 2011-05-01 |
| 1154620037 | Tyler Curtis Page | Chiropractor | 1353 Gold Star Hwy, Groton, CT 06340-2739 | 2011-03-18 |
| 1932350907 | Inner Wisdom Chiropractic, LLC | Chiropractor | 76 Fort Hill Rd, Groton, CT 06340-4333 | 2008-10-08 |
| 1992976278 | Falk Chiropractic Offices PC | Chiropractor | 258 Route 12, Groton, CT 06340-3415 | 2008-03-14 |
| Find all providers in GROTON | ||||
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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.