Individual provider Active NPI

Jeffrey Scott Grove, D.O.

  • Family Medicine Physician
  • Largo, FL
National Provider Identifier
1154313252
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6098 Issued in FL
Practice address
12020 Seminole Blvd
Largo, FL 33778-2805
Phone
(727) 588-9572
Fax
(727) 584-3832
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS6098 FL Primary

Addresses

Primary practice location

12020 Seminole Blvd
Largo, FL 33778-2805

Mailing address

17222 Hospital Blvd
Suite 222
Brooksville, FL 34601-8925
Phone (352) 799-7000

Other identifiers 2

IdentifierTypeStateIssuer
370419000MedicaidFL
80599OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000185 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric MedicinePractitioner - Preventive Medicine 9931152469 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Family Medical AssociatesGroup PAC ID 0941195242, 14 clinicians

Practice addresses (Care Compare)

12020 Seminole Blvd
Largo, FL 33778-2805
Phone (727) 588-9572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Heritage, P.a. CurrentSince Jan 1, 2010 Accepting new patients
Suncoast Family Medical Associates Family Medicine CurrentSince Jun 9, 1997 Accepting new patients
Paxton Medical Management Family Medicine CurrentSince Sep 17, 2021 Accepting new patients
Paxton Medical Management Family Medicine CurrentSince Sep 17, 2021 Accepting new patients
Paxton Medical Management Family Medicine CurrentSince Sep 23, 2021 Accepting new patients
Osteopathic Heritage, P.a. Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
G & D Partners Family Medicine PastSince May 22, 2017 Accepting new patients
Grove & Dibetta PLLC Family Medicine PastSince Oct 1, 2015 Accepting new patients

Locations

959 W Jefferson St
Brooksville, FL 34601
Phone (352) 666-6950

1951 S McCall Rd
Ste 700
Englewood, FL 34223
Phone (941) 205-0520

1951 S McCall Rd
Englewood, FL 34223
Phone (941) 205-0520

12020 Seminole Blvd
Largo, FL 33778
Phone (727) 588-9572

14279 Tamiami Trl
North Port, FL 34287
Phone (941) 205-0520

120 Medical Blvd
Ste 103
Spring Hill, FL 34609
Phone (352) 340-2115

118 Seven Hills Dr
Spring Hill, FL 34609
Phone (352) 666-6950

1615 Sun City Center Plz
Sun City Ctr, FL 33573
Phone (813) 634-1729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFBCD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1154313252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 222",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-799-7000",
            "fax_number": "352-799-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782805",
            "telephone_number": "727-588-9572",
            "fax_number": "727-584-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370419000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80599",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.