Johnson and Grote Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JOHNSON AND GROTE PEDIATRICS, INC.

Practice address

702 E 34TH St
Ste 203
Joplin, MO 64804-3967

Phone

(417) 623-4077

Fax

(417) 623-5171

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Raymond Grote, MD

Title

Physician

Phone

(417) 623-4077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1639408404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E 34TH ST",
            "address_2": "STE 203",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043967",
            "telephone_number": "417-623-4077",
            "fax_number": "417-623-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E 34TH ST",
            "address_2": "STE 203",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043967",
            "telephone_number": "417-623-4077",
            "fax_number": "417-623-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON AND GROTE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "417-623-4077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.