Jason R Grove in South Bend - Foot & Ankle Surgery
Jason R Grove - NPI 1609040088
Jason R Grove is a Foot & Ankle Surgery in South Bend, Indiana. Jason R Grove practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jason R Grove is 1609040088. The last update date is 2022-07-15.
Jason R Grove's current location address is 707 Cedar St Ste 200, South Bend, Indiana. You can contact this provider via phone number 5743358700 and fax number 5743350760. The mailing address for Jason R Grove is 707 Cedar St Ste 200, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason R Grove |
|---|---|
| Address | 707 Cedar St Ste 200, South Bend, Indiana |
| Phone Number | 5743358700 |
| Fax Number | 5743350760 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1609040088 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2022-07-15 |
Provider Mailing Address Detail
| Address | 707 Cedar St Ste 200 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172057 |
| Phone Number | 5743358700 |
| Fax Number | 5743350760 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36.003447 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 592921 | IN | BCBS BMG SCHWARTZ | |
| 591890 | IN | BCBS BMG LAPORTE | |
| 738460026 | IN | MEDICARE PIN | |
| IN1933041 | IN | MEDICARE PIN | |
| 591888 | IN | BCBS BMG MAIN STREET | |
| 592923 | IN | BCBS BMG IRELAND | |
| 710624 | IN | BCBS BMG BREMEN | |
| P00656770 | IN | RR MEDICARE | |
| 630279 | IN | BCBS BMG PORTAGE | |
| 200912030 | IN | -- |
Post Comment/ Review Below
What is the Jason R Grove's 1609040088?
The Jason R Grove's NPI (National Provider Identifier) Number is 1609040088. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jason R Grove is located?
The Jason R Grove is situated at the following address: 707 Cedar St Ste 200, South Bend, IN, 466172057.
What is Jason R Grove's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason R Grove is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609040088 to Jason R Grove?
The Centers for Medicare & Medicaid Services originally issued the 1609040088 to Jason R Grove on 2008-04-17.
When was the information regarding Jason R Grove, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jason R Grove, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-15.
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