Gregory D Groth, RPAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005566 Issued in NY

Practice address

100 College Pkwy
Suite 220
Williamsville, NY 14221-6800

Phone

(716) 626-9900

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deniz M Pirincci MD

  • Internal Medicine Physician
  • Le Roy, NY
  • NPI 1831390384
  NPD (past)
• Integrative Pain & Wellness Associates, LLC

  • Pain Medicine Physician
  • Williamsville, NY
  • NPI 1689123929
  NPD (past)
• Junaid Hashim MD

  • Psychiatry Physician
  • Williamsville, NY
  • NPI 1013199405
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1124072855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 INDIAN FALLS RD",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369641",
            "telephone_number": "585-762-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY",
            "address_2": "SUITE 220",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-626-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Griswold, MD
• Stephanie Grolemund, CRNA
• Katherine Marina Grosner
• Brianna Lee Gross
• Joanna Catherine Grosskopf, FNP
• Adrienne Grover, LPN
• Growing Up Fit LLC
• Laura Grube, LCSW-R
• Victoria Elizabeth Grudzinski, PA-C
• Elaine A Grzankowski, L.M.T.

• Physician Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.