Nicholas R Groch DO LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NICHOLAS R GROCH DO LLC

Practice address

400 Medical Park Dr
Suite 103
Dover, OH 44622-3207

Phone

(330) 343-9600

Fax

(330) 343-4410

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Robert Groch, D.O.

Title

Single Member

Phone

(330) 343-9600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922231240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-343-9600",
            "fax_number": "330-343-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-343-9600",
            "fax_number": "330-343-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS R GROCH DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROCH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "330-343-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.