Katherine Grover, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1809 Issued in ME

Practice address

RR 1 Box 11
Machias, ME 04654-9758

Phone

(207) 255-3356

Fax

(207) 255-0289

NPI assigned

Jan 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunbury Primary Care, P.a.

  dba Sunbury Medical Assocaites

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1437242294
  NPD (past)
• Sunbury Primary Care, P.a.

  dba Bangor Family Medicine

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902885965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046549758",
            "telephone_number": "207-255-3356",
            "fax_number": "207-255-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 11",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046549758",
            "telephone_number": "207-255-3356",
            "fax_number": "207-255-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "KATHERINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Michele Gerry, LCSW-R
• Joseph Richard Giacolone, MD
• Kristin Alyssa Giacolone, MD
• Jeffrey Ross Goorland, M.D.
• Samantha R Gray, LMSW-CC
• Thomas Richmond Halkett, M DIV
• Hallowell & Macmannis, O.D., P.a.
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Rosalie Hanscom, MHRT-CSP
• Paul Edward Hauser, BS PHARMACY

• Family Medicine Physician in Machias, ME
• Providers in Machias, ME by specialty
• Family Medicine Physician in Maine

• 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.

Verify at the official NPI Registry.