Jerod B Grogg is a Physician Assistant in Dayton, Ohio. Jerod B Grogg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jerod B Grogg is 1639203441. The last update date is 2021-02-02.
Jerod B Grogg's current location address is 7740 Washington Village Dr Ste 110, Dayton, Ohio. You can contact this provider via phone number 9374394145 and fax number 9374394371. The mailing address for Jerod B Grogg is 7740 Washington Village Dr Ste 110, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerod B Grogg |
|---|---|
| Address | 7740 Washington Village Dr Ste 110, Dayton, Ohio |
| Phone Number | 9374394145 |
| Fax Number | 9374394371 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1639203441 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2021-02-02 |
Provider Mailing Address Detail
| Address | 7740 Washington Village Dr Ste 110 |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454593994 |
| Phone Number | 9374394145 |
| Fax Number | 9374394371 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50001994 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85267 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerod B Grogg by the Centers for Medicare & Medicaid Services?
The Jerod B Grogg has been assigned the NPI (National Provider Identifier) 1639203441 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerod B Grogg's facilities are geographically located?
The facilities of Jerod B Grogg are physically situated at the following location: 7740 Washington Village Dr Ste 110, Dayton, OH, 454593994.
What is Jerod B Grogg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerod B Grogg is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1639203441 assigned to Jerod B Grogg?
The Jerod B Grogg was issued its 1639203441 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerod B Grogg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerod B Grogg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-02-02.