KEVIN EUGENE GROH (NPI# 1013356757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013356757 |
| Entity Type | Individual |
| Full Name | KEVIN EUGENE GROH |
| Credential | PA-C |
| Practice Address |
5380 Hickory Hollow Pkwy Ste 201 Antioch TN 37013 |
| Mailing Address |
5380 Hickory Hollow Pkwy Ste 201 Antioch TN 37013-3389 |
| Practice Telephone | 6158912070 |
| Practice Fax Number | 6158912056 |
| Mailing Telephone | 6158912070 |
| Mailing Fax Number | 6158912056 |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3489 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 23034 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 E Carrillo St, Santa Barbara, CA 931011460 | 8055633307 | 8055630998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851341788 | Kevin T Groh | Nurse Anesthetist, Certified Registered | 659 Boulevard St, Dover, OH 44622-2026 | 2006-05-11 |
| Street Address |
5380 HICKORY HOLLOW PKWY STE 201 |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356888 | Seven Springs Orthopaedics, PC | Physical Therapist | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013-3389 | 2018-11-30 |
| 1487135281 | Jeremy Jason Stojakovich | Physical Therapist | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013-3389 | 2018-08-28 |
| 1457804130 | Christopher James Moberg | Physical Therapist | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1295170025 | Fredrick Azubike Anikwe | Clinic/Center | 5008 Chadfield Way, Antioch, TN 37013 | 2013-05-07 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922631886 | Amanda Kristine Barbanica | Physician Assistant | 3565 Markley Creek Dr, Antioch, CA 94509-6288 | 2020-02-19 |
| 1437667334 | Miguel Angel Coria | Physician Assistant | 1817 Terrace Dr, Antioch, CA 94509-2804 | 2018-01-14 |
| 1376079731 | Bola Gabriel | Physician Assistant | 5100 Brookstone Ct, Antioch, TN 37013-5687 | 2017-05-04 |
| 1558733451 | Anthony Ambrosino | Physician Assistant | 2904 Carolyn Ct, Antioch, CA 94509-4952 | 2015-10-30 |
| 1922406297 | Myrlande Dixon | Physician Assistant | 5380 Hickory Hollow Pkwy, Ste 201, Antioch, TN 37013-3117 | 2014-12-18 |
| 1558642934 | George Edward Marcus IIi | Physician Assistant | 2125 Aileen Dr, Antioch, TN 37013-1702 | 2011-08-30 |
| 1407157886 | Mike Romain | Physician Assistant | 2788 Murfreesboro Pike, Antioch, TN 37013-2004 | 2010-11-16 |
| 1023644507 | Jeffrey Robert Chavez | Physician Assistant | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2020-03-17 |
| 1780248161 | Veronica Padilla | Physician Assistant | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2019-04-30 |
| 1386123255 | Alicia Ramsey | Physician Assistant | 3901 Lone Tree Way, Antioch, CA 94509 | 2018-08-10 |
| Find all providers in ANTIOCH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.