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DR. KENNETH L GROTZ MD NPI 1063521631


NPI Information

NPI: 1063521631
Provider Name: DR. KENNETH L GROTZ, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3651 WHEELER ROAD
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2369
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DR. Kenneth L Grotz, MD is an emergency medicine in Augusta, GA with 37 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Kenneth L Grotz, MD NPI is 1063521631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

3651 WHEELER ROAD
AUGUSTA, GA
ZIP 30909
Phone: (706) 651-2369
Fax: (706) 651-2364

The NPI 1063521631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 8/29/2006 and was last updated on 10/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PT0002XEmergency MedicineMedical Toxicology037820GEORGIANo
2207Q00000XFamily Medicine037820GEORGIANo
3207QA0000XFamily MedicineAdolescent Medicine037820GEORGIANo
4207QA0505XFamily MedicineAdult Medicine037820GEORGIANo
5207QG0300XFamily MedicineGeriatric Medicine037820GEORGIANo
6207QS0010XFamily MedicineSports Medicine037820GEORGIANo
7207PE0004XEmergency MedicineEmergency Medical Services037820GEORGIANo
8207PP0204XEmergency MedicinePediatric Emergency Medicine037820GEORGIANo
9207PS0010XEmergency MedicineSports Medicine037820GEORGIANo
10207P00000XEmergency Medicine037820GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G38834MEDICAIDSOUTH CAROLINA
21447352778OTHERNPI - CSRA EMERGENCY PHYS
3E52978MEDICARE UPIN
493BDVHGMEDICARE PINGEORGIA
510062882OTHERAMERIGROUP
6345518OTHERWELLCARE OF GA
700568235EMEDICAIDGEORGIA
84370409OTHERAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.