MR. NICHOLAS RICHARD GROCH (NPI# 1922031004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922031004 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS RICHARD GROCH |
| Credential | D.O. |
| Practice Address |
140 W 6th St Suite 210 Oswego NY 13126-2525 |
| Practice Telephone | 3153495828 |
| Practice Fax Number | 3153495829 |
| Mailing Telephone | 3153495828 |
| Mailing Fax Number | 3153495829 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 34-008803 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 34.008803 | OH | Allopathic & Osteopathic Physicians |
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OS10415 | FL | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
270541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2669189 | 05 | |
| OH | ANTHEM | 000000486232 | 01 |
| OH | AETNA | 7268808 | 01 |
| OH | PARAMOUNT | 06184 | 01 |
| OH | RRMC | P00358244 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821343526 | Nicholas Stephen Groch | Dietitian, Registered | 2525 S Michigan Ave, Suite 250, Chicago, IL 60616-2333 | 2012-07-18 |
| Street Address |
140 W 6TH ST SUITE 210 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979374 | Melanie Lynn Groch | Otolaryngology | 140 W 6th St, Suite 210, Oswego, NY 13126-2525 | 2005-08-12 |
| 1619416203 | Rahul Rangrao Shinde | Physician Assistant | 140 W 6th St, Oswego, NY 13126-2525 | 2017-02-16 |
| 1356621734 | Susan A Callaway | Registered Nurse | 140 W 6th St, Oswego, NY 13126-2525 | 2011-08-17 |
| 1740433176 | Joanne Lynn Broadwell | Clinic/Center | 140 W 6th St, Suite 140, Oswego, NY 13126-2525 | 2008-10-29 |
| 1336345941 | Ronald Damani Howell | Orthopaedic Surgery | 140 W 6th St, Suite 220, Oswego, NY 13126-2525 | 2007-06-21 |
| 1447476254 | Minimally Invasive Surgery of Oswego County, Pllc | Specialist | 140 W 6th St, Suite 270, Oswego, NY 13126-2525 | 2007-04-18 |
| 1992863062 | William Mahon, Md PC | Orthopaedic Surgery | 140 W 6th St, Suite 210, Oswego, NY 13126-2525 | 2006-12-04 |
| 1568547339 | Baker Orthopaedics & Sports Medicine P C | Orthopaedic Surgery | 140 W 6th St, Suite 180, Oswego, NY 13126-2525 | 2006-10-27 |
| 1821195900 | Laura J Paoletti | Nurse Practitioner | 140 W 6th St, Suite 110, Oswego, NY 13126-2525 | 2006-09-20 |
| 1003839572 | David William Granoff | Otolaryngology | 140 W 6th St, Suite 180, Oswego, NY 13126-2525 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328874 | Conall Fitzgerald | Otolaryngology | 1275 York Ave Dept Head, New York, NY 10065-6007 | 2020-08-31 |
| 1609484492 | Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional Co | Otolaryngology | 400 East 20th Street Ste 3f, New York, NY 10009 | 2020-07-17 |
| 1154838977 | Manhattan Canal Medical, P.C. | Otolaryngology | 202 Canal St Ste 602, New York, NY 10013-4517 | 2018-01-02 |
| 1437538881 | Jacob Ibrook Tower | Otolaryngology | 130 East 77th Street Black Hall Building 10th Floor, New York, NY 10075 | 2015-05-19 |
| 1982808614 | Rebecca E Fraioli | Otolaryngology | 3400 Bainbridge Ave, Map 3, Montefiore Medical Center, Dept of Otolaryngology - Hns, Bronx, NY 10467 | 2007-06-14 |
| 1043429483 | David O Volpi | Otolaryngology | 262 Central Park W # 1h, New York, NY 10024-3512 | 2007-05-22 |
| 1487877817 | Western New York Ear, Nose & Throat, P.C. | Otolaryngology | 3670 South Benzing, Suite C, Orchard Park, NY 14127 | 2007-04-11 |
| 1821157751 | Jennifer M Levine | Otolaryngology | 240 E 79th St, New York, NY 10075-1257 | 2006-12-06 |
| 1104913185 | William Marshall Portnoy | Otolaryngology | 160 W 18th St, Ground Floor, New York, NY 10011-5403 | 2006-10-09 |
| 1609821297 | Boris Chernobilsky | Otolaryngology | 240 E 38th St Fl 14, New York, NY 10016 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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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.