Individual provider Active NPI

Adam Groothuis

  • Biomedical Engineering Technician
  • Swampscott, MA
National Provider Identifier
1417544198
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Biomedical Engineering TechnicianTaxonomy code 2472B0301X
Practice address
7 Sampson Ave
Swampscott, MA 01907-1099
Phone
(857) 205-6245
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Biomedical Engineering Technician 2472B0301X Primary

Addresses

Primary practice location

7 Sampson Ave
Swampscott, MA 01907-1099

Mailing address

7 Sampson Ave
Swampscott, MA 01907-1099
Phone (857) 205-6245

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PowerShare Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1417544198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SAMPSON AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071099",
            "telephone_number": "857-205-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SAMPSON AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019071099",
            "telephone_number": "857-205-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOTHUIS",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472B0301X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Biomedical Engineering",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PowerShare",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PowerShare",
            "address_1": "7 Sampson Ave",
            "city": "Swampscott",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019071099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.