Active NPI
Paul F Grote, MD
- Family Medicine Physician
- West Chester, OH
National Provider Identifier
1003801721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35047195
- Practice address
- 7320A Kingsgate Way
West Chester, OH 45069 - Phone
- (513) 777-5100
- Fax
- (513) 779-9293
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35047195 | OH | Primary |
Addresses
Primary practice location
7320A Kingsgate Way
West Chester, OH 45069
Mailing address
7320A Kingsgate Way
West Chester, OH 45069
Phone (513) 777-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494291 | Medicaid | OH | |
| 000000010817 | Other | OH | ANTHEM |
| 31103367900 | Other | OH | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047195 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1003801721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320A KINGSGATE WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-777-5100",
"fax_number": "513-779-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320A KINGSGATE WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-777-5100",
"fax_number": "513-779-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTE",
"first_name": "PAUL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35047195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0494291",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000010817",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "31103367900",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.