Individual provider Active NPI

Philip Clarence Groce, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Union, ME
National Provider Identifier
1114908415
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD6797 Issued in ME
Practice address
321 Appleton Rd
Union, ME 04862-4824
Phone
(207) 785-2969
Fax
(207) 785-2960
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD6797 ME Primary

Addresses

Primary practice location

321 Appleton Rd
Union, ME 04862-4824

Mailing address

321 Appleton Rd
Union, ME 04862-4824
Phone (207) 785-2969

Other identifiers 3

IdentifierTypeStateIssuer
008618OtherMEANTHEM
237410000MedicaidME
011132479OtherRR MEDICARE

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1114908415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 APPLETON RD",
            "city": "UNION",
            "state": "ME",
            "postal_code": "048624824",
            "telephone_number": "207-785-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 APPLETON RD",
            "city": "UNION",
            "state": "ME",
            "postal_code": "048624824",
            "telephone_number": "207-785-2969",
            "fax_number": "207-785-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCE",
        "first_name": "PHILIP",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "MD6797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "008618",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237410000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "011132479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.