Active NPI
R Paul Groben, DO
- Diagnostic Radiology Physician
- Newton, IA
National Provider Identifier
1598831703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01606
- Practice address
- 204 N 4TH Ave E
Newton, IA 50208 - Phone
- (641) 787-0025
- Fax
- (641) 787-0201
- NPI assigned
- Nov 28, 2006
- Last updated
- May 28, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01606 | IA | Primary |
Addresses
Primary practice location
204 N 4TH Ave E
Newton, IA 50208
Mailing address
PO Box 1452
204 N 4TH Ave E Room 336
Newton, IA 50208
Phone (641) 787-0025
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2369 | Other | AMERICAN REBUBLIC | |
| 4116 | Other | JELD-WEN | |
| 1255 | Other | AMERICAN REBUBLIC | |
| 5039 | Other | AETNA | |
| 614410 | Other | TRIGON | |
| 0068601 | Medicaid | IA | |
| 1373348 | Other | 1ST HEALTH | |
| 2716 | Other | SELECT BENEFIT & ADM | |
| 2438 | Other | UNION PACIFIC RAILROAD |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01606 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1598831703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1452",
"address_2": "204 N 4TH AVE E ROOM 336",
"city": "NEWTON",
"state": "IA",
"postal_code": "50208",
"telephone_number": "641-787-0025",
"fax_number": "641-787-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N 4TH AVE E",
"city": "NEWTON",
"state": "IA",
"postal_code": "50208",
"telephone_number": "641-787-0025",
"fax_number": "641-787-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROBEN",
"first_name": "R",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "01606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN REBUBLIC",
"identifier": "2369",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JELD-WEN",
"identifier": "4116",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN REBUBLIC",
"identifier": "1255",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "614410",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068601",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST HEALTH",
"identifier": "1373348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT BENEFIT & ADM",
"identifier": "2716",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNION PACIFIC RAILROAD",
"identifier": "2438",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.