Kieth W Groh, MD | |
551 E Southampton Dr, Columbia, MO 65201-4236 | |
(573) 882-1662 | |
(573) 882-4096 |
Full Name | Kieth W Groh |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 551 E Southampton Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588621585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2001021519 (Missouri) | Secondary |
207P00000X | Emergency Medicine | 2001021519 (Missouri) | Primary |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
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Kieth W Groh, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Kieth W Groh, MD 551 E Southampton Dr, Columbia, MO 65201-4236 Ph: (573) 882-1662 |
Rylee Shawn Duckworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 | |
Dr. Michael Habhab, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212 Phone: 573-884-4400 | |
Michael Hauan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-3573 Fax: 314-631-4491 | |
Derek G Hebert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-6003 Fax: 573-884-5410 | |
Dr. Betsy Lynn Borsheski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902 | |
Dylan Carroll, Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Suite M562, Columbia, MO 65212 Phone: 573-884-3233 Fax: 573-884-5994 | |
George Jesus Ubinas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 |