Deric Grohowski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011196 Issued in PA

Practice address

400 Middle Rd
Nanticoke, PA 18634-3821

Phone

(570) 208-7711

NPI assigned

Aug 30, 2017

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Appalachian Rehabilitation Inc

  • Speech-Language Pathologist
  • Chambersburg, PA
  • NPI 1851404701
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1952829962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CENTER ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186344408",
            "telephone_number": "570-735-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MIDDLE RD",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343821",
            "telephone_number": "570-208-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHOWSKI",
        "first_name": "DERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby L Goss
• Marie A. Grabowski, M.D.
• Lucia Civiletti Gray, OTR/L
• Greater Nanticoke Area School District
• Marissa Greene
• Joseph Paul Gronka, D.M.D.
• Guardian Elder Care at Nanticoke II LLC
• Guardian Elder Care at Nanticoke LLC
• Guardian Long Term Care Pharmacy Inc
• Heather Lasco Nutrition LLC

• Chiropractor in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.