Active NPI
Mary Jo Groves, M.D.
- Family Medicine Physician
- Friday Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.046580
- Practice address
- 1117 Spring St
Friday Harbor, WA 98250 - Phone
- (360) 378-2141
- Fax
- (360) 378-1785
- NPI assigned
- Jun 18, 2006
- Last updated
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G156583 | CA | |
| Family Medicine Physician | 207Q00000X | 35.046580 | OH | Primary |
Addresses
Primary practice location
1117 Spring St
Friday Harbor, WA 98250
Mailing address
2665 Derr Road
Springfield, OH 45503-3774
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911 ext. 7920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0466473 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G156583 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current | Accepting new patients | |
| Apogee Medical Group Ohio Inc | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Richland County, LTD | Family Medicine | Current | Accepting new patients |
| Hospital Services Medical Group of Clark County Inc | Past | Accepting new patients |
Locations
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
904 Scioto St
Urbana, OH 43078
Phone (937) 293-0136
Interoperability endpoints
- mgroves344948@direct.peacehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
Family Medicine
-
dba Eisenhower Health
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1588659841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1730124371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 DERR ROAD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455033774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "98250",
"telephone_number": "360-378-2141",
"fax_number": "360-378-1785"
}
],
"practiceLocations": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911 x7920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVES",
"first_name": "MARY JO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G156583",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.046580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0466473",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.