Jerome E Groll, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10002092 Issued in DE

Practice address

34445 King Street Row
Lewes, DE 19958-4787

Phone

(302) 645-2833

Fax

(978) 327-7891

NPI assigned

Aug 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1891788519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "978-327-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34445 KING STREET ROW",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-645-2833",
            "fax_number": "978-327-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLL",
        "first_name": "JEROME",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-28",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10002092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000026301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Griffin
• Krista Brackett Griffin, D.C.
• Alesia Griffith, OTR
• Kathryn Grinnen, DO
• Thomas Nicholas Grobarz Jr., RN
• Veronica Guajardo, RN
• Christian Guidash, PT
• Jennifer Brett Gunning
• Courtney Lyn Gwyer
• William S Hadder

• Family Medicine Physician in Lewes, DE
• Providers in Lewes, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.