Martin H Grotheer MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10117 Issued in OK

Legal business name

MARTIN H GROTHEER MD

Practice address

10 S Treaty Rd
Miami, OK 74354-5330

Phone

(918) 542-6644

Fax

(918) 542-6167

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shelly Oakley

Title

Manager

Phone

(918) 542-6644

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Herman Grotheer, M.D.

  • Family Medicine Physician
  • Miami, OK
  • NPI 1750352597
  NPD (past)
• Dorothy Ann Mayes, ARNP-C

  • Family Nurse Practitioner
  • Grove, OK
  • NPI 1093786840
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1891978490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743551328",
            "telephone_number": "918-542-6644",
            "fax_number": "918-542-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S TREATY RD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743545330",
            "telephone_number": "918-542-6644",
            "fax_number": "918-542-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN H GROTHEER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-542-6644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Manion
• Sara Manners
• Brandon Allan Maples
• Angela Marrett, LPC
• Zachary Marrett
• Jennifer M Martin
• Waunetta Martinez
• Jennifer Marie Mason, PA-C
• Aaron Mathews
• Matthew a Keim DDS PC

• Family Medicine Physician in Miami, OK
• Providers in Miami, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.