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Dr. Kenneth L Grotz

Family Doctor Emergency Physician Emergency Medical Services Pediatric Emergency Physician and 3 more

3651 Wheeler Road
Augusta , Georgia 30909

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Physician
  • Emergency Medical Services
  • Pediatric Emergency Physician
  • Family Doctor
  • Family Doctor - Adult Medicine
  • Family Doctor - Geriatric Medicine
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

3651 Wheeler Road Augusta , Georgia 30909

First Address

  • Dr. Kenneth L Grotz
  • P.o. Box 3638 1125 Troupe Street
  • Augusta, GA
  • Zip : 30914-3638
  • Fax : (706) 731-5289
  • Phone : (706) 737-4575

Second Address

  • Dr. Kenneth L Grotz
  • 3651 Wheeler Road
  • Augusta, GA
  • Zip : 30909
  • Fax : (706) 651-2364
  • Phone : (706) 651-2369

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FAQs


Where did Dr. Kenneth L Grotz attend graduate school?

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Where did Dr. Kenneth L Grotz do his residency?

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Where did Dr. Kenneth L Grotz do his fellowship?

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Is Dr. Kenneth L Grotz board certified?

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What type of doctor is Dr. Kenneth L Grotz

Emergency Physician

In what state does Dr. Kenneth L Grotz practice in?

Georgia

Where is Dr. Kenneth L Grotz ’s practice located?

3651 Wheeler Road , Augusta, Georgia, 30909

What is Dr. Kenneth L Grotz ’s gender?

Male

Is Dr. Kenneth L Grotz a sole practitioner?

No

Is Dr. Kenneth L Grotz accepting new patients?

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What languages does Dr. Kenneth L Grotz speak?

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Does Dr. Kenneth L Grotz accept insurance?

Yes, Dr. Kenneth L Grotz accepts insurance

Does Dr. Kenneth L Grotz offers telemedicine?

Dr. Kenneth L Grotz has not indicated if he offers telemedicine

What is Dr. Kenneth L Grotz ’s professional license number?

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What is Dr. Kenneth L Grotz ’s NPI number?

1063521631

Does Dr. Kenneth L Grotz have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207P00000X Emergency Physician 037820 GA
N 207PE0004X Emergency Medical Services 037820 GA
N 207PP0204X Pediatric Emergency Physician 037820 GA
N 207Q00000X Family Doctor 037820 GA
N 207QA0505X Family Doctor - Adult Medicine 037820 GA
N 207QG0300X Family Doctor - Geriatric Medicine 037820 GA
N 207QS0010X Family Doctor - Sports Medicine 037820 GA

National Provider Identifier

NPI 1063521631
Provider Name Dr. Kenneth L Grotz
First Address Augusta, GA 30914-3638
Second Address Augusta, GA 30909
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/08/2006
Last Update Date 04/10/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00568235E (05) GA
10062882 AMERIGROUP (01)
1447352778 NPI - CSRA EMERGENCY PHYS (01)
345518 WELLCARE OF GA (01)
4370409 AETNA (01)
E52978 (02)
G38834 (05) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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