DR. CARLA J GROH (NPI# 1821180274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821180274 |
| Entity Type | Individual |
| Full Name | DR. CARLA J GROH |
| Credential | PHD APRN BC |
| Practice Address |
5555 Conner Suite 2691 Detroit MI 48213 |
| Practice Telephone | 3135791182 |
| Practice Fax Number | 3135795128 |
| Mailing Telephone | 3135791182 |
| Mailing Fax Number | 3135795128 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704098802 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4635769 | 05 |
| Street Address |
5555 CONNER SUITE 2691 |
| City | DETROIT |
| State | MI |
| Zip Code | 48213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245599364 | Valerie Jean Tucker | Social Worker | 5555 Conner, Suite1611, Detroit, MI 48213-2608 | 2012-05-09 |
| 1306068291 | Denise Hudson | Counselor | 5555 Conner, Detroit, MI 48227 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1073049144 | Cheryl Williams | Community Health Worker | 13929 Chalmers Ave., Detroit, MI 48213 | 2017-05-10 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1255887899 | Jay Washington | Behavioral Analyst | 9146 Haper, Detroit, MI 48213 | 2016-09-01 |
| 1396129532 | Sarietha King | Home Health | 14639 Manistique, Detroit, MI 48213 | 2015-07-17 |
| 1366823197 | Royal Treatment Mental Health Systems, LLC | Counselor | 5555 Corner Avenue, Detroit, MI 48213 | 2015-06-17 |
| 1477956779 | Monique Powell | Student in an Organized Health Care Education/Training Program | 5801 Lakeview S.t, Detroit, MI 48213 | 2014-09-30 |
| 1629339163 | Samuel Joseph Farmer | Counselor | 10100 Harper Ave., Detroit, MI 48213 | 2012-05-31 |
| 1609164755 | Vernon Keith Johnson | Social Worker | 20203 Kelly Road, Detroit, MI 48213 | 2011-07-11 |
| 1023312790 | Davenport Quality Home Care LLC | Home Health | 5027 Maxwell, Detroit, MI 48213 | 2011-01-10 |
| Find all providers in zip 48213 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1124054408 | Patricia Frances Yourchock Orr | Nurse Practitioner | 4464 Burton St, Upper Unit, Detroit, MI 48210-2402 | 2006-06-25 |
| 1720619091 | Sunshine Mental Health Care | Nurse Practitioner | 12871 E Jefferson Ave, Detroit, MI 48215-2754 | 2020-01-27 |
| 1720621535 | Rebecca Anne Hibbs | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-10-24 |
| 1659895134 | Infinity Hope Center | Nurse Practitioner | 277 Gratiot Ave Ste 100a8919, Detroit, MI 48226-2239 | 2017-07-27 |
| 1942685607 | Eddia Marie Mcdade | Nurse Practitioner | 10 Peterboro St, Detroit, MI 48201-2722 | 2015-07-23 |
| 1043698475 | Karen Ann Wezner | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-18 |
| 1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
| 1588060750 | Jill Sidange | Nurse Practitioner | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2014-11-14 |
| Find all providers in DETROIT | ||||
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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.