Fred Grover Jr. M.D

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

33720 Issued in CO

Legal business name

FRED GROVER JR. M.D

Practice address

5 Cook St
Denver, CO 80206-5803

Phone

(303) 320-1530

NPI assigned

Jun 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fred Lee Grover Jr., M.D.

Title

President

Phone

(303) 320-1530

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215979687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COOK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065803",
            "telephone_number": "303-320-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COOK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065803",
            "telephone_number": "303-320-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED GROVER JR. M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-320-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "33720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01337203",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher H Frazier, MD
• Erin E Frazier, PA-C
• Keshan Alyse Frazier
• Monet Grace Frazier, MSW, LCSW
• Fred Grossman, MD
• Beth Marie Fredeen, M.A. , NCC
• Douglas Fredeen, B.S.
• Lauren Fredeen, MOT, OTR/L
• Jon Frederick, PHD, LPC
• Laura Michelle Frederick, RN

• Primary Care Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.