| NPI | 1124292263 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-04-19 |
| Last Updated | 2023-12-19 |
| Mailing Address | 323 E Hawkins Pkwy Ste A Longview, TX 75605-7905 United States Phone: (903) 758-2746 | Fax: (903) 758-7127 📍 View Map |
| Primary Practice Address | 323 E Hawkins Pkwy Ste A Longview, TX 75605-7905 United States Phone: (903) 758-2746 | Fax: (903) 758-7127 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 350010001 | — |
| Other (non-Medicare) | TX | Q4967 | TEXAS MEDICAL BOARD |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207X00000X – Orthopaedic Surgery | TX | Q4967 |
| Yes | 207X00000X – Orthopaedic Surgery | GA | 060461 |
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About NPI 1124292263
Charles Grooters MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124292263. The primary specialty listed is Orthopaedic Surgery. The provider is located in Longview, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-04-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124292263?
NPI 1124292263 belongs to Charles Grooters MD, a Orthopaedic Surgery in Longview, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124292263 active?
The current status of NPI 1124292263 in the NPPES registry is Active. The record was last updated on 2023-12-19.
What specialty is NPI 1124292263?
NPI 1124292263 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124292263?
You can verify NPI 1124292263 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124292263?
The primary practice address on file for NPI 1124292263 is 323 E Hawkins Pkwy Ste A, Longview, TX 75605-7905. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124292263 issued?
NPI 1124292263 was first issued (enumerated) on 2008-04-19. The NPPES record was last updated on 2023-12-19.
Practice Location Map
Charles Grooters is located at 323 E Hawkins Pkwy Ste A, Longview, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Charles Grooters. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124292263. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Orthopaedic Surgery | Q4967 | TX |
| Orthopaedic Surgery | 060461 | GA |