Active NPI
Mark P Grogan, MD
- Ophthalmology Physician
- Miami, FL
National Provider Identifier
1265923486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME158379
- Practice address
- 900 NW 17TH St
Miami, FL 33136-1119 - Phone
- (305) 326-6000
- NPI assigned
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME158379 | FL | Primary |
| Ophthalmology Physician | 207W00000X | R-11138 | IA |
Addresses
Primary practice location
900 NW 17TH St
Miami, FL 33136-1119
Mailing address
900 NW 17TH St
Miami, FL 33136-1134
Phone (305) 326-6000
Other practice location 1
1801 Hickman Rd
Des Moines, IA 50314-1505
Phone (515) 282-5640
Other practice location 2
525 E Market St
Akron, OH 44304-1619
Phone (330) 375-4831
Other practice location 3
7400 State Line Rd
Prairie Village, KS 66208-3444
Phone (913) 588-6600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158379 | FL | MD | Ophthalmology Physician |
| R-11138 | IA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1265923486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361134",
"telephone_number": "305-326-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361119",
"telephone_number": "305-326-6000"
}
],
"practiceLocations": [
{
"address_1": "1801 Hickman Rd",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503141505",
"country_code": "US",
"telephone_number": "515-282-5640",
"fax_number": "515-282-2332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 E Market St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041619",
"country_code": "US",
"telephone_number": "330-375-4831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7400 State Line Rd",
"address_purpose": "LOCATION",
"city": "Prairie Village",
"state": "KS",
"postal_code": "662083444",
"country_code": "US",
"telephone_number": "913-588-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROGAN",
"first_name": "MARK",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2022-08-15",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME158379",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "R-11138",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.