Organization Active NPI

Jesus a Groso MD

  • Family Medicine Physician
  • Okeechobee, FL
National Provider Identifier
1861051369
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JESUS A GROSO MD
Practice address
1008 N Parrott Ave
Okeechobee, FL 34972-2110
Phone
(863) 447-1343
NPI assigned
Jun 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Authorized official

Name
Dr. Jesus A Groso, MD
Title
Physician
Phone
(863) 447-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1008 N Parrott Ave
Okeechobee, FL 34972-2110

Mailing address

2856 NE 54TH TRL
Okeechobee, FL 34972-8609
Phone (863) 447-1343

National Provider Directory

National Provider Directory

Locations

1008 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 610-3624

NPI Registry JSON

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569110400000",
    "number": "1861051369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 NE 54TH TRL",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349728609",
            "telephone_number": "863-447-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722110",
            "telephone_number": "863-447-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS A GROSO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-09-22",
        "status": "A",
        "authorized_official_last_name": "GROSO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-447-1343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.