Active NPI
Roxanne L. Groff, AUD
- Audiologist
- Athens, OH
National Provider Identifier
1609895424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00200
- Practice address
- 2131 East State Street
Athens, OH 45701-1334 - Phone
- (740) 589-3100
- Fax
- (740) 589-3123
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00200 | OH | Primary |
Addresses
Primary practice location
2131 East State Street
Athens, OH 45701-1334
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 589-3137
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000204488 | Other | OH | OHIO MEDICAID UNISON |
| P00640943 | Other | OH | RAILROAD MEDICARE |
| 310917085195 | Other | OH | OHIO MEDICAID CARESOURCE |
| 0098630 | Medicaid | OH |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00200 | OH | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1609895424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-589-3137",
"fax_number": "740-566-4049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 EAST STATE STREET",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011334",
"telephone_number": "740-589-3100",
"fax_number": "740-589-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROFF",
"first_name": "ROXANNE",
"middle_name": "L.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "00200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID UNISON",
"identifier": "000000204488",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00640943",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID CARESOURCE",
"identifier": "310917085195",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098630",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.