Marilyn S Groves is a Pediatrics in Goshen, Indiana. Marilyn S Groves practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marilyn S Groves is 1710921267. The last update date is 2011-08-09.
Marilyn S Groves's current location address is 330 Lakeview Dr, Goshen, Indiana. You can contact this provider via phone number 5745331234 and fax number 5745372652. The mailing address for Marilyn S Groves is 330 Lakeview Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn S Groves |
|---|---|
| Address | 330 Lakeview Dr, Goshen, Indiana |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1710921267 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2011-08-09 |
Provider Mailing Address Detail
| Address | 330 Lakeview Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465289365 |
| Phone Number | 5745331234 |
| Fax Number | 5745372652 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 71001259A |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00106755 | IN | RAILROAD MEDICARE PIN | |
| 533123 | ANTHEM PIN | ||
| 200361200 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marilyn S Groves by the Centers for Medicare & Medicaid Services (CMS)?
The Marilyn S Groves has been assigned the NPI (National Provider Identifier) 1710921267. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Marilyn S Groves's facilities are geographically located?
The facilities of Marilyn S Groves are physically situated at the following location: 330 Lakeview Dr, Goshen, IN, 465289365.
What is Marilyn S Groves's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marilyn S Groves is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Marilyn S Groves receive its 1710921267 assignment from the Centers for Medicare & Medicaid Services?
The Marilyn S Groves was assigned its 1710921267 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date were the Marilyn S Groves's details last updated?
The information pertaining to the Marilyn S Groves, including its address, specialty, and other details, was most recently updated on 2011-08-09.