Evangeline Grover, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD060329-L Issued in PA

Practice address

270 Commerce Dr
Suite 250
Fort Washington, PA 19034-2405

Phone

(215) 653-0600

Fax

(215) 646-4422

NPI assigned

Aug 11, 2005

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

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.

• Lockman-Lubell Pediatric Associates, LLC

  • Pediatrics Physician
  • Fort Washington, PA
  • NPI 1891713608
  NPD (past)
• True North Medical Group, LLC

  • Family Medicine Physician
  • Abington, PA
  • NPI 1811477573
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285636035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 COMMERCE DR",
            "address_2": "SUITE 250",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342405",
            "telephone_number": "215-653-0600",
            "fax_number": "215-646-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 COMMERCE DR",
            "address_2": "SUITE 250",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342405",
            "telephone_number": "215-653-0600",
            "fax_number": "215-646-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "EVANGELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD060329-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD060329-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Spring Acupuncture, LLC
• Greater Life in Home Care Services
• Brooke Love Green, PT, DPT
• John P Grigger, DDS
• Linda B Griska, M.D.
• Susan P Grun, MS
• John Joseph Guerin, PH.D.
• Sally A Gupton, DDS
• Aaron Haah, DDS
• Rubina Noor Haidar, M.D.

• Pediatric Adolescent Medicine Physician in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.