Active NPI
Shara Grover MD LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mukwonago, WI
National Provider Identifier
1942660170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SHARA GROVER MD LLC
- Practice address
- 305 Eagle Lake Ave
Mukwonago, WI 53149-1163 - Phone
- (262) 363-5719
- Fax
- (262) 363-9763
- NPI assigned
- Mar 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shara Grover, M.D.
- Title
- President
- Phone
- (312) 498-0701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
305 Eagle Lake Ave
Mukwonago, WI 53149-1163
Mailing address
305 Eagle Lake Ave
Mukwonago, WI 53149-1163
Phone (262) 363-5719
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mukwonago, WI
- NPI 1871583765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456790400000",
"number": "1942660170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 EAGLE LAKE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491163",
"telephone_number": "262-363-5719",
"fax_number": "262-363-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 EAGLE LAKE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491163",
"telephone_number": "262-363-5719",
"fax_number": "262-363-9763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARA GROVER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A",
"authorized_official_last_name": "GROVER",
"authorized_official_first_name": "SHARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-498-0701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.