Ted Groshong
MD | Pediatrics | Male
Ted Groshong, MD is a Columbia, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ted Groshong is
402 N Keene St, Ste 101, Columbia, Missouri - 65201-6986. He can be contacted on phone at
573-882-6921 and fax number 573-882-1154.
Ted Groshong is a sole proprietor of his business.
NPI number (Unique professional ID) for Ted Groshong is
1881649754 which was assigned by NPPES on 22 May, 2006 and it was last updated on 16 Aug, 2011.
Ted Groshong license number is
MD31289 for Pediatrics (208000000X) in Missouri.
Ted Groshong is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ted Groshong basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ted Groshong |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Ted Groshong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 402 N Keene St, Ste 101
Columbia, MO, 65201-6986
United States |
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| Phone Number : | 573-882-6921 |
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| Fax Number : | 573-882-1154 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881649754 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2006 |
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| Last Updated On : | 16 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ted Groshong are as mentioned. Primary taxonomy code for Ted Groshong, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD31289 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Ted Groshong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2086349901 | Other | KS | KANSAS MEDICAID |
| 3730 | Other | MO | BLUE SHIELD/BLUE CHOICE |
| 140113001 | Other | AR | ARKANSAS MEDICAID |
| 7509311 | Other | MO | UNITED HEALTHCARE |
| 102486 | Other | MO | HEALTHLINK |
| 200528107 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 7687
Columbia, MO, 65205-7687
United States |
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| Phone Number : | 573-882-2259 |
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Business Location:
Patients can refer following map for directions to
Ted Groshong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.