TIMOTHY D GROTH (NPI# 1093742272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093742272 |
Entity Type | Individual |
Full Name | TIMOTHY D GROTH |
Credential | M.D. |
Practice Address |
994 W Jericho Tpke Suite 104 Smithtown NY 11787-3235 |
Practice Telephone | 6315431440 |
Practice Fax Number | 6315431930 |
Mailing Telephone | 6315431440 |
Mailing Fax Number | 6315431930 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2007-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
158610 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01491318 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538597380 | Timothy Groth | Counselor | 3329 University Ave Se, Minneapolis, MN 55414-3325 | 2013-10-14 |
Street Address |
994 W JERICHO TPKE SUITE 104 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689677197 | Long Island Skin Cancer and Dermatologic Surgery, PC | Specialist | 994 W Jericho Tpke, Ste 103, Smithtown, NY 11787-3211 | 2005-05-30 |
1013402932 | Rachel Anne Demaio | Nurse Practitioner | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2018-06-22 |
1366873259 | Delta Sleep Center | Sleep Specialist, PhD | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2013-12-03 |
1184999344 | Melinda Clarke | Registered Nurse | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2012-03-20 |
1134457518 | Allison Wallshein | Registered Nurse | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2009-11-24 |
1538302179 | Gulle Nayab Awan | Pain Medicine | 994 W Jericho Tpke, Suite 104, Smithtown, NY 11787-3235 | 2009-04-13 |
1245407519 | Michele A Morganstern | Psychologist | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2008-05-14 |
1235303157 | Lloyd D. Landsman, M.d.p.c. | Plastic Surgery | 994 W Jericho Tpke, Smithtown, NY 11787-3235 | 2008-04-22 |
1851595094 | Long Island Skin Cancer & Dermatologic Surgery, PC | Dermatology | 994 W Jericho Tpke, Suite 103, Smithtown, NY 11787-3235 | 2007-06-12 |
1508077058 | Jennifer Fidelo | Physician Assistant | 994 W Jericho Tpke, Suite 202, Smithtown, NY 11787-3235 | 2007-05-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730715905 | New York Pain Consultants, LLC | Anesthesiology | 50 Ny-25a, Smithtown, NY 11787 | 2020-03-19 |
1720022015 | Timothy D. Groth Md PC | Anesthesiology | 994 W Jericho Tpke, Suite104, Smithtown, NY 11787-3235 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
1790322477 | Bay Ridge Medical Care Pllc | Anesthesiology | 370 Bay Ridge Pkwy Lowr Level, Brooklyn, NY 11209-3176 | 2019-12-02 |
1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
1467010751 | Health Quest Medical Practice, PC | Anesthesiology | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2019-05-31 |
1619531910 | Aristide Burducea, D.o LLC | Anesthesiology | 21925 Peck Ave, Queens Village, NY 11427-1121 | 2019-04-23 |
1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
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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.