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).
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 |
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1915 Lake Ave, Plymouth, IN 465639366 | 5749484000 | |
6913 N. Main St., Suite 300, Granger, IN 46530 | 5746471500 | 5742434310 |
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 |
Street Address |
611 E DOUGLAS RD STE 406 |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-1468 |
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 |
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 |
Find all providers in zip 46545 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.