Grogan Family Medicine LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

GROGAN FAMILY MEDICINE LLC

Practice address

3024 Ohio Ave
Connersville, IN 47331-3073

Phone

(765) 222-1400

Fax

(866) 873-8524

NPI assigned

Aug 1, 2019

Last updated

Sep 9, 2019By 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

Terence M Grogan, DO

Title

Physician/Owner

Phone

(765) 827-1800

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20579/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1316591829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 OHIO AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313073",
            "telephone_number": "765-222-1400",
            "fax_number": "866-873-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 OHIO AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313073",
            "telephone_number": "765-222-1400",
            "fax_number": "866-873-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROGAN FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "765-827-1800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.