Stephan J Groth (NPI# 1699780015, PAC ID# 7214917962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1699780015 |
| PAC ID by PECOS | 7214917962 |
| Professional Enrollment ID | I20040722001001 |
| Full Name | Stephan J Groth |
| Organization Legal Name | BAY CLINIC |
| Address |
1750 Thompson Rd Coos Bay OR 97420-2100 |
| Phone Number | 5412690333 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9638164874 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380090 | BAY AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 5412690333 | BAY CLINIC |
| Organization Legal Name | BAY CLINIC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol S. Frank | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Bruce L Bobek | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Craig Jackson | Family Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Davina Lynn Bledsoe | Nurse Practitioner | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kelly W Smith | Nurse Practitioner | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Wendy G Haack | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Julie A Abbott | Certified Nurse Midwife (cnm) | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| James F Tracy | Allergy/immunology | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jon C Yost | Pediatric Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Susan Lynn Chaney | Certified Nurse Midwife (cnm) | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Street Address |
1750 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip | 97420-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol S. Frank | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Bruce L Bobek | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| John M Armitage | Cardiac Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shu-wen Cheng | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Denise J Gontiz | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Debra Sue Guzman | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Brendan Gordon Tennefoss | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Emily E Scotland | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Abby L Stauss | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Dianna L Loudenbeck | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Edward L Lanway | Chiropractic | 632 Anderson Ave, Coos Bay, OR 97420-1632 | |
| Patricia B Gates | Optometry | 986 Central Ave, Coos Bay, OR 97420-1736 | |
| Mirian W Groenendaal | Physical Therapy | Starting Line Physical Therapy | 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040 |
| Find all physicians in zip 97420 | |||
| City | COOS BAY |
| Zip Code | 97420 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | COOS BAY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stephan J Groth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.