Geriatric Medicine Consultants Home Visit Practice, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

031718 Issued in CT

Legal business name

GERIATRIC MEDICINE CONSULTANTS HOME VISIT PRACTICE, LLC

Practice address

33 Birch Rd
West Hartford, CT 06119-1009

Phone

(860) 232-9741

NPI assigned

Mar 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alison Grover, MD

Title

Member

Phone

(860) 232-9741

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• alison grover md Doing business as

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223164800000",
    "number": "1184896151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BIRCH RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191009",
            "telephone_number": "860-232-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BIRCH RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191009",
            "telephone_number": "860-232-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICINE CONSULTANTS HOME VISIT PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-10-05",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-232-9741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "031718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001317181",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326174574",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184896151",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alison grover md",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Internal Medicine) Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2008; 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.