JASON R GROVE


Address: 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468
Phone: 5743356500

JASON R GROVE (NPI# 1609040088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609040088
Entity Type Individual
Full Name JASON R GROVE
Credential DPM
Practice Address 611 E Douglas Rd Ste 406
Mishawaka
IN 46545-1468
Mailing Address 707 Cedar St Ste 200
South Bend
IN 46617-2057
Practice Telephone 5743356500
Practice Fax Number 5743350772
Mailing Telephone 5743358700
Mailing Fax Number 5743350760
Enumeration Date 2008-04-17
Last Update Date 2018-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 07001058A IN Podiatric Medicine & Surgery Service Providers
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
36.003447 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN BCBS BMG SCHWARTZ 000000592921 01
IN MEDICARE PIN IN1933041 01
IN BCBS BMG MAIN STREET 000000591888 01
IN 200912030 05
IN BCBS BMG PORTAGE 000000630279 01
IN MEDICARE PIN 738460026 01
IN BCBS BMG LAPORTE 000000591890 01
IN BCBS BMG IRELAND 000000592923 01
IN BCBS BMG BREMEN 000000710624 01
IN RR MEDICARE P00656770 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1915 Lake Ave, Plymouth, IN 465639366 5749484000
6913 N. Main St., Suite 300, Granger, IN 46530 5746471500 5742434310

Other Providers JASON GROVE

NPI Name Taxonomy Address Enumeration
1972149243 Jason Grove Counselor 466 S Elm St, Hillsboro, OH 45133-1360 2019-11-21
1508943663 Jason J Grove Physician Assistant 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 2006-11-01
1982801288 Jason Charles Grove Psychiatry & Neurology 5115 Bernard Dr, Suite 105, Roanoke, VA 24018-4357 2007-06-29

Office Location

Street Address 611 E DOUGLAS RD STE 406
City MISHAWAKA
State IN
Zip Code 46545-1468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023035508 Theodore R Neumann Family Medicine 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 2006-07-17
1841710381 Casmir Ezim Podiatrist 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 2017-06-26
1508386038 Christina Bridges Podiatrist 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 2017-06-26
1407204787 Daniel Curnyn Family Medicine 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 2016-05-27
1124382403 Michele Nicole Collins Family Medicine 611 E Douglas Rd Ste 406, Mishawaka, IN 46545 2012-07-01
1023116514 Leah Napolitano Ortiz Family Medicine 611 E Douglas Rd Ste 406, Mishawaka, IN 46545-1468 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508811308 N W Worden Podiatrist 2206 Lincoln Way E, Mishawaka, IN 46544-3301 2006-05-23
1558850164 Micah Spencer Podiatrist 611 E Douglas Rd Ste 407, Mishawaka, IN 46545 2018-05-09
1396031837 Cassandra Papak Podiatrist 611 E Douglas Rd, Ste 406, Mishawaka, IN 46545-1464 2011-06-23
1295753267 Michael Salcedo Dpm Podiatrist 3665 Park Pl W, Suite 200, Mishawaka, IN 46545-3566 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003472721 Roman Podiatry Partners Inc Podiatrist 2308 N. Roosevelt, Valparaiso, IN 46383 2019-05-17
1770040081 Apex Podiatry, Inc. Podiatrist 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 2019-02-22
1982176913 A-warnock LLC Podiatrist 1103 Central Park Blvd N, Greenwood, IN 46143-7312 2019-01-02
1336658095 Jenkins Podiatry PC Podiatrist 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 2017-09-26
1629592191 Christie Foot & Ankle, LLC Podiatrist 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 2017-07-27
1154842896 Major Multispecialty Associates Podiatrist 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 2017-07-03
1336677046 John Paul Bonvillian Podiatrist Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 2017-05-24
1538693536 Nicholas Nicholas Lalios Podiatrist 7800 Madison St, Merrillville, IN 46410-4615 2017-04-17
1558713354 Allegiant Podiatry, Inc. Podiatrist 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 2016-07-06
1275984643 Jordan Gardner Podiatrist 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 2016-06-28
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Competitor

Search similar providers

City MISHAWAKA
Zip Code 46545

Improve Information

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Dataset Information

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.

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