Mimi Groom, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

FLME0065790 Issued in FL

Practice address

3455 Pine Ridge Rd
Naples, FL 34109-3824

Phone

(239) 597-5700

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Collier Hma Physician Management LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1245282979

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1902857113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093824",
            "telephone_number": "239-597-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093824",
            "telephone_number": "239-597-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOM",
        "first_name": "MIMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "FLME0065790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Grimshaw
• Christopher Yousry Gris, MD
• Joshua Griscti
• Groom Eye Center PLC
• Groom Vision Center
• Colleen Ann Gross, ARNP
• Cristina Maria Grossi, D.C.
• Joel Scott Grossman, MD
• Joel Steven Grossman, M.D.
• Robert Athey Grossman, MD

• Ophthalmology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.