Beverly J Grooms-Thom, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

459 Issued in WI

Practice address

451 Junction Rd
Madison, WI 53717

Phone

(608) 265-1600

Fax

(608) 265-7643

NPI assigned

Mar 2, 2006

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1700853314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53717",
            "telephone_number": "608-265-1600",
            "fax_number": "608-265-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOMS-THOM",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Foley Grogan, MD
• Earl Wayne Grogan, MD
• Cheri M Groleau, RN, CDE
• Maggie J Grommon, APNP. FNP-BC
• David J Gronski, MD
• Molly Kloosterboer Groose, M.D.
• Doreen M Groshan, PTA, B.S., A.S.
• Brady Michael Gross, MPAS
• Dennis Gross
• Maya Elizabeth Gross, MD, MPH

• Medical Physician Assistant in Madison, WI
• Providers in Madison, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.