Active NPI
George Dieter Gromke, DO
- Orthopaedic Surgery Physician
- Grand Junction, CO
National Provider Identifier
1720035140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 32179
- Practice address
- 2020 N 12TH St
Grand Junction, CO 81501-2914 - Phone
- (970) 245-0484
- Fax
- (970) 241-2803
- NPI assigned
- May 30, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 32179 | CO | Primary |
Addresses
Primary practice location
2020 N 12TH St
Grand Junction, CO 81501-2914
Mailing address
2020 N 12TH St
Grand Junction, CO 81501-2914
Phone (970) 245-0484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01321793 | Medicaid | CO |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32179 | CO | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1720035140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 N 12TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012914",
"telephone_number": "970-245-0484",
"fax_number": "970-241-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 N 12TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012914",
"telephone_number": "970-245-0484",
"fax_number": "970-241-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROMKE",
"first_name": "GEORGE",
"middle_name": "DIETER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "32179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01321793",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.