Nicole Groux, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601001213 Issued in MI

Practice address

2799 W Grand Blvd
Henry Ford Hospital, Neurosurgery, K-11
Detroit, MI 48202-2608

Phone

(313) 916-1340

Fax

(313) 916-8607

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053477620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 FISHER RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301214",
            "telephone_number": "313-886-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "HENRY FORD HOSPITAL, NEUROSURGERY, K-11",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1340",
            "fax_number": "313-916-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROUX",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601001213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Monique Gross, CPHT
• Tracey Gross, RN
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• Rebecca Lindsay Grossman, MA
• Stephanie Grossman, DMD
• Courtney Grove-Dyer, MSW, LLMSW
• Kavita Mohindra Grover, M.D.
• Keshav Grover, D.O.
• Kunal Grover
• Sudershan K Grover, MD

• Surgical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.