Ted Groshong in Columbia - Pediatrics

Ted Groshong - NPI 1881649754

Ted Groshong is a Pediatrics in Columbia, Missouri. Ted Groshong practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ted Groshong is 1881649754. The last update date is 2011-08-16.

Ted Groshong's current location address is 402 N Keene St, Columbia, Missouri. You can contact this provider via phone number 5738826921 and fax number 5738821154. The mailing address for Ted Groshong is 402 N Keene St, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted Groshong
Address 402 N Keene St, Columbia, Missouri
Phone Number 5738826921
Fax Number 5738821154
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881649754
Provider Enumeration Date 2006-05-22
Last Updated Date 2011-08-16

Provider Mailing Address Detail

Address 402 N Keene St
City Columbia
State Missouri (MO)
Post Code 652016986
Phone Number 5738826921
Fax Number 5738821154

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD31289
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
140113001 AR ARKANSAS MEDICAID
3730 MO BLUE SHIELD/BLUE CHOICE
7509311 MO UNITED HEALTHCARE
102486 MO HEALTHLINK
200528107 MO --
2086349901 KS KANSAS MEDICAID

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FAQs about Ted Groshong

What is the unique 10-digit identifier code issued to Ted Groshong by the Centers for Medicare & Medicaid Services?

The Ted Groshong has been assigned the NPI (National Provider Identifier) 1881649754 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Ted Groshong located?

The Ted Groshong is located at 402 N Keene St, Columbia, MO 652016986.

What is Ted Groshong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ted Groshong is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881649754 to Ted Groshong?

The Ted Groshong received its 1881649754 assignment from the Centers for Medicare & Medicaid Services on 2006-05-22.

As of what date was the information regarding Ted Groshong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Ted Groshong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-16.

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