Roger L Groves, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD033248L Issued in PA

Legal business name

ROGER L GROVES, MD PC

Practice address

250 W Lancaster Ave
Suite 215
Paoli, PA 19301-1751

Phone

(610) 647-1204

Fax

(610) 647-1240

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger L Groves, MD

Title

President

Phone

(610) 647-1204

Specialties & licenses 1

Addresses

Other identifiers 10

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1821055930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 215",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-647-1204",
            "fax_number": "610-647-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W LANCASTER AVE",
            "address_2": "SUITE 215",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011751",
            "telephone_number": "610-647-1204",
            "fax_number": "610-647-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L GROVES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033248L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0026452000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2454668001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4092568",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010037310005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30019442",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP BLUE CROSS",
            "identifier": "122794",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "255202",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0100373102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000104868802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0875497",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Robinson, MD
• Megan Robinson, MS, RD, LDN
• Daniel H Rodgers, MA
• Ellana Rodriguez, MD
• John Roeder, D.M.D.
• Edward Anthony Romero, M.D.
• Anne Rosato, MD
• Karl Rosenfeld, M.D.
• Joy Rosenthal, MSW
• Ross Podell, M.D., P.C.

• Family Medicine Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.