Pamela C Grover, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

271328 Issued in NY

Practice address

421 Penbrooke Dr
Suite #6
Penfield, NY 14526-2045

Phone

(585) 623-4430

Fax

(585) 623-4436

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1669427308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PENBROOKE DR",
            "address_2": "SUITE #6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262045",
            "telephone_number": "585-623-4430",
            "fax_number": "585-623-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PENBROOKE DR",
            "address_2": "SUITE #6",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262045",
            "telephone_number": "585-623-4430",
            "fax_number": "585-623-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "PAMELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81917",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "FL",
            "license": "271328-1",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "271328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261611400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "080171075",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie M Griswold, SPEECH PATHOLOGIST
• Grogan Acupuncture PLLC
• Julie Grogan, L.AC.
• Kristin Gross
• Jeanne E Grove
• Jennifer Joan Lipa Gruttadaro, RPT
• Rachel Ann Gulvin, DPT
• Hanife Gokce Gundogdu
• Kelly Jo Gursslin, FNP - C
• Margaret M Hack

• Preventive Medicine/Occupational Environmental Medicine Physician in Penfield, NY
• Providers in Penfield, NY by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.