Kenneth L Grotz in Augusta - Pediatric Emergency Medicine
Kenneth L Grotz - NPI 1063521631
Kenneth L Grotz is a Pediatric Emergency Medicine in Augusta, Georgia. Kenneth L Grotz practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. 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 | Pediatric Emergency Medicine |
---|---|
Taxonomy | 207Pp0204X |
Licence No | 37820 |
Definition: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
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 |
Post Comment/ Review Below
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 Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Pp0204X.
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.