Kenneth L Grotz in Augusta - Emergency Medical Services

Kenneth L Grotz - NPI 1063521631

Kenneth L Grotz is a Emergency Medical Services in Augusta, Georgia. Kenneth L Grotz practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Kenneth L Grotz is 1063521631. The last update date is 2007-10-04.

Kenneth L Grotz's current location address is P.o. Box 3638, Augusta, Georgia. You can contact this provider via phone number 7067374575 and fax number 7067315289. The mailing address for Kenneth L Grotz is P.o. Box 3638, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth L Grotz
Address P.o. Box 3638, Augusta, Georgia
Phone Number 7067374575
Fax Number 7067315289
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063521631
Provider Enumeration Date 2006-08-29
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address P.o. Box 3638
City Augusta
State Georgia (GA)
Post Code 309143638
Phone Number 7067374575
Fax Number 7067315289

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No 37820
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4370409 AETNA
G38834 SC --
1447352778 NPI - CSRA EMERGENCY PHYS
345518 WELLCARE OF GA
00568235E GA --
10062882 AMERIGROUP

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FAQs about Kenneth L Grotz

What is the unique 10-digit identifier code issued to Kenneth L Grotz by the Centers for Medicare & Medicaid Services?

The Kenneth L Grotz has been assigned the NPI (National Provider Identifier) 1063521631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kenneth L Grotz?

The Kenneth L Grotz is situated at P.O. Box 3638, in the city of Augusta, state of GA, with the zip code 309143638.

What is Kenneth L Grotz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth L Grotz's specialized field of practice is Emergency Medical Services, and the corresponding taxonomy code that categorizes this area of specialization is 207Pe0004X.

When did Kenneth L Grotz receive its 1063521631 assignment?

The Kenneth L Grotz was assigned its 1063521631 on 2006-08-29, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Kenneth L Grotz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth L Grotz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-04.

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