KENNETH L. GROTZ MD – NPI #1063521631
Emergency Medicine
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.
KENNETH GROTZ is a physician located in AUGUSTA, GA. NPPES has assigned the NPI number 1063521631 to KENNETH GROTZ on August 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 19 years ago on Oct 04, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH GROTZ below.
NPI Profile for
KENNETH L. GROTZ
(about 20 years ago)
AUGUSTA, GA 30909 Phone: (706) 651-2369 Fax: (706) 651-2364
1125 TROUPE STREET
AUGUSTA, GA 30914-3638 Phone: (706) 737-4575 Fax: (706) 731-5289
Identifiers for KENNETH GROTZ
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | AETNA | 4370409 | |
| OTHER | AMERIGROUP | 10062882 | |
| OTHER | NPI - CSRA EMERGENCY PHYS | 1447352778 | |
| OTHER | WELLCARE OF GA | 345518 | |
| MEDICAID | GA | 00568235E | |
| MEDICAID | SC | G38834 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207P00000X - Emergency Medicine (Primary) |
GA | 037820 |
| 207QS0010X - Family Medicine / Sports Medicine |
GA | 037820 |
| 207QG0300X - Family Medicine / Geriatric Medicine |
GA | 037820 |
| 207QA0505X - Family Medicine / Adult Medicine |
GA | 037820 |
| 207QA0000X - Family Medicine / Adolescent Medicine |
GA | 037820 |
| 207Q00000X - Family Medicine |
GA | 037820 |
| 207PT0002X - Emergency Medicine / Medical Toxicology |
GA | 037820 |
| 207PS0010X - Emergency Medicine / Sports Medicine |
GA | 037820 |
| 207PP0204X - Emergency Medicine / Pediatric Emergency Medicine |
GA | 037820 |
| 207PE0004X - Emergency Medicine / Emergency Medical Services |
GA | 037820 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
KENNETH GROTZ is affiliated with the following medical group(s):
- HOSPITAL
- BACON COUNTY HOSPITAL302 SOUTH WAYNE STREET
ALMA, GA 31510 - COFFEE REGIONAL MEDICAL CENTER, INC1101 OCILLA ROAD
DOUGLAS, GA 31533 - DORMINY MEDICAL CENTER200 PERRY HOUSE ROAD, BOX 1447
FITZGERALD, GA 31750
- BACON COUNTY HOSPITAL302 SOUTH WAYNE STREET
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See the complete CMS Data Dissemination Notice here.