Gene A Groenendaal in Erie - Family Medicine
Gene A Groenendaal - NPI 1407832777
Gene A Groenendaal is a Family Medicine in Erie, Pennsylvania. Gene A Groenendaal practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gene A Groenendaal is 1407832777. The last update date is 2015-04-21.
Gene A Groenendaal's current location address is 3010 W Lake Rd, Erie, Pennsylvania. You can contact this provider via phone number 8148332385 and fax number 8148335522. The mailing address for Gene A Groenendaal is 3010 W Lake Rd, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gene A Groenendaal |
|---|---|
| Address | 3010 W Lake Rd, Erie, Pennsylvania |
| Phone Number | 8148332385 |
| Fax Number | 8148335522 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1407832777 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2015-04-21 |
Provider Mailing Address Detail
| Address | 3010 W Lake Rd |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165053844 |
| Phone Number | 8148332385 |
| Fax Number | 8148335522 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS012139 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| I08552 | UPIN | ||
| 80340 | MEDICARE | ||
| 1621512 | HIGHMARK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gene A Groenendaal by the Centers for Medicare & Medicaid Services?
The Gene A Groenendaal has been issued the NPI (National Provider Identifier) 1407832777, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Gene A Groenendaal located?
The Gene A Groenendaal is located at 3010 W Lake Rd, Erie, PA 165053844.
What is Gene A Groenendaal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gene A Groenendaal's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407832777 to Gene A Groenendaal?
The Centers for Medicare & Medicaid Services assigned the 1407832777 to Gene A Groenendaal on 2005-12-19.
As of what date were the details pertaining to Gene A Groenendaal last refreshed?
The information related to the Gene A Groenendaal, including its address, specialty, and other relevant details, was last updated on 2015-04-21.
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