| Dr Matthew C Grothaus, MD | |
|
208 Columbus St, Hicksville, OH 43526 | |
| (419) 542-5669 | |
| (419) 542-5667 |
| Full Name | Dr Matthew C Grothaus |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 19 Years |
| Location | 208 Columbus St, Hicksville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417978776 | NPI | - | NPPES |
| 2791331 | Medicaid | OH | |
| 35-087589 | Other | OH | LICENSE |
| P00453968 | Other | OH | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35087589 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Toledo, OH | Home health agency |
| Ohioans Home Healthcare, Inc | Perrysburg, OH | Home health agency |
| Promedica Defiance Regional Hospital | Defiance, OH | Hospital |
| Community Hospitals And Wellness Centers | Montpelier, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730145392 PECOS PAC ID: 0547258907 Enrollment ID: O20040504000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew C Grothaus, MD 208 Columbus St, Hicksville, OH 43526-1299 Ph: (419) 542-5669 | Dr Matthew C Grothaus, MD 208 Columbus St, Hicksville, OH 43526 Ph: (419) 542-5669 |
Dr. Vincent D Waldron, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 208 Columbus St, Hicksville, OH 43526 Phone: 419-542-6692 |