Organization Active NPI

Groves ER Physicians Group P a

  • Emergency Medicine Physician
  • Groves, TX
National Provider Identifier
1295816312
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GROVES ER PHYSICIANS GROUP P A
Practice address
5500 39TH Street
Groves, TX 77619-2905
Phone
(409) 962-5733
Fax
(409) 963-5388
NPI assigned
Oct 17, 2006
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Scott Koenig, 8328661900
Title
Ceo
Phone
(832) 866-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

5500 39TH Street
Groves, TX 77619-2905

Mailing address

14440 John F Kennedy Blvd
Houston, TX 77032-5300
Phone (832) 886-1900

Other identifiers 3

IdentifierTypeStateIssuer
166546502MedicaidTX
166546503MedicaidTX
166546501MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1295816312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 JOHN F KENNEDY BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770325300",
            "telephone_number": "832-886-1900",
            "fax_number": "281-227-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 39TH STREET",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776192905",
            "telephone_number": "409-962-5733",
            "fax_number": "409-963-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES ER PHYSICIANS GROUP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-866-1900",
        "authorized_official_credential": "8328661900"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166546502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166546503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166546501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.