Active NPI
Pamela K. Grow, M.D.
- Pediatrics Physician
- Rolla, MO
National Provider Identifier
1861694903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD R8J04
- Practice address
- 1200 N Pine St
Student Health Services
Rolla, MO 65401-2831 - Phone
- (573) 341-4284
- NPI assigned
- Jun 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD R8J04 | MO | Primary |
Addresses
Primary practice location
1200 N Pine St
Student Health Services
Rolla, MO 65401-2831
Mailing address
1200 N Pine St
Student Health Services
Rolla, MO 65401-2831
Phone (573) 341-4284
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD R8J04 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861694903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N PINE ST",
"address_2": "STUDENT HEALTH SERVICES",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012831",
"telephone_number": "573-341-4284",
"fax_number": "573-341-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N PINE ST",
"address_2": "STUDENT HEALTH SERVICES",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012831",
"telephone_number": "573-341-4284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "PAMELA",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "MD R8J04",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.