Steven B Grover, MD
Individual provider Active NPI Emergency Medicine Physician · Lebanon, KY
NPI 1932154374 · NPPES record last updated Jul 18, 2007
Key facts
- NPI
- 1932154374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 23597 (KY)
- Practice address
- 320 Loretto Rd
Lebanon, KY 40033-1300 - Phone
- (502) 538-6527
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040521000016 | KY | Practitioner - Emergency Medicine | 9931190642 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23597 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Kentuckiana Emergency Physicians | Past | Accepting new patients | |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115
320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23597 | KY | Yes |
Addresses
Primary practice location
320 Loretto Rd
Lebanon, KY 40033-1300
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64235971 | Medicaid | LA |
Other providers in Lebanon, KY
- Jennifer Janiece Graham
- Greenwell & Greenwell, Inc.
- Gregory W. Schall, DO, PLLC
- Harinder Singh Grewal
- Rita Regina Gribbins
- Rodney J Hadley
- Kim Hagan
- Natalie Marie Hale
- Dana Hamilton
- Ashley A Hargis
All providers in Lebanon, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.