Organization Active NPI

Palms Medical Clinic

  • Surgery Physician
  • Palm Springs, CA
National Provider Identifier
1073747994
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PALMS MEDICAL CLINIC
Practice address
611 S Palm Canyon Dr
Suite 7464
Palm Springs, CA 92264-7453
Phone
(760) 880-6862
NPI assigned
May 6, 2009
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Eugene C Groeger, MD
Title
Ceo
Phone
(760) 880-6862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

611 S Palm Canyon Dr
Suite 7464
Palm Springs, CA 92264-7453

Mailing address

611 S Palm Canyon Dr
Suite 7464
Palm Springs, CA 92264-7453

National Provider Directory

National Provider Directory

Locations

611 S Palm Canyon Dr
Ste 7464
Palm Springs, CA 92264
Phone (760) 880-6862

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1073747994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "SUITE 7464",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "SUITE 7464",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647453",
            "telephone_number": "760-880-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "GROEGER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-880-6862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.