Active NPI
David Lawrence De Groh, D.O.
- Family Medicine Physician
- Sandusky, OH
National Provider Identifier
1699786608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.002813
- Practice address
- 3416 Columbus Ave
Sandusky, OH 44870-5557 - Phone
- (419) 625-7350
- Fax
- (419) 625-6660
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.002813 | OH | Primary |
Addresses
Primary practice location
3416 Columbus Ave
Sandusky, OH 44870-5557
Mailing address
3416 Columbus Ave
Sandusky, OH 44870-5557
Phone (419) 625-7350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130205000306 | OH | Order and Referring Only - Family Practice | 4880883602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.002813 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1699786608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 COLUMBUS AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705557",
"telephone_number": "419-625-7350",
"fax_number": "419-625-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 COLUMBUS AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705557",
"telephone_number": "419-625-7350",
"fax_number": "419-625-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GROH",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.002813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.