KEITH GUY GROOVER (NPI# 1679974026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679974026 |
| Entity Type | Individual |
| Full Name | KEITH GUY GROOVER |
| Credential | ARRT R.T. (R)(CT) |
| Practice Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
| Mailing Address |
733 Leland Dasher Rd Glennville GA 30427-6460 |
| Practice Telephone | 9124356061 |
| Mailing Telephone | 9129773102 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | 441602 | GA | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
441602 | GA | Technologists, Technicians & Other Technical Service Providers |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
441602 | GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1061 HARMON AVE |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
| 1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
| 1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
| 1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
| 1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
| 1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
| 1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
| 1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
| 1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619373990 | Audrey Sims | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801297189 | Lisa Gardisser | Radiologic Technologist | 2646 Hwy 56 E, Lyons, GA 30436-4358 | 2014-09-05 |
| 1457609810 | Charles M Smith | Radiologic Technologist | 113 Fairview Park Dr, Suite A, Dublin, GA 31021-2501 | 2012-08-16 |
| 1942521067 | Kevin L Marler | Radiologic Technologist | 21 Golden Ct, Sharpsburg, GA 30277-2367 | 2010-06-14 |
| 1659510808 | Donn Alan Coe | Radiologic Technologist | 3815 Lovers Ln, Monroe, GA 30656-8556 | 2009-02-11 |
| 1922281104 | Clarissa Dawn George | Radiologic Technologist | 5810 Waterfall Way, Buford, GA 30518-1376 | 2007-12-11 |
| 1023362258 | Hilda Faye Bryant | Radiologic Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2012-11-09 |
| 1063711380 | Amanda Lauren Maldonado | Radiologic Technologist | 230 Duncan Dr Bldg 1440, Department of Radiology, Savannah, GA 31409-5107 | 2011-03-25 |
| 1427255769 | Daniel Wilson Krevdo | Radiologic Technologist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-06-29 |
| 1215133038 | Jon Andrew Logan | Radiologic Technologist | 621 North Ave, Ste. C-30, Atlanta, GA 30354-1430 | 2007-06-27 |
| 1447302344 | Riverdale Radiology Center | Radiologic Technologist | 833 Walnut St, Macon, GA 31201-2617 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on KEITH GUY GROOVER.
| 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.