| Edwin L Grogan, MD | |
|
1532 Lone Oak Rd, Suite 235, Paducah, KY 42003-7913 | |
| (270) 442-9463 | |
| (270) 442-2241 |
| Full Name | Edwin L Grogan |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1532 Lone Oak Rd, Paducah, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750378022 | NPI | - | NPPES |
| P00976650 | Other | KY | RAIL ROAD MEDICARE |
| 04705710211 | Medicaid | IL | |
| 64200546 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 20054 (Kentucky) | Primary |
| 208600000X | Surgery | 036093089 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin L Grogan, MD Po Box 636961, Cincinnati, OH 45263-0001 Ph: (513) 981-5098 | Edwin L Grogan, MD 1532 Lone Oak Rd, Suite 235, Paducah, KY 42003-7913 Ph: (270) 442-9463 |
Clinton Joseph Kaufman, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 | |
Dr. Charles King Davis Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 Woodland Dr, Paducah, KY 42001 Phone: 270-442-1468 | |
Dr. Kristen Nicole Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 Kentucky Ave Ste 201, Paducah, KY 42003 Phone: 270-538-9555 | |
David John Mauterer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Drive, Suite 303, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Alice A Higdon, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Daniel A. Howard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1532 Lone Oak Rd, Suite 235, Paducah, KY 42003 Phone: 270-442-9463 Fax: 270-442-2241 | |
Dr. Jason David Banister, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Ste 205, Paducah, KY 42003 Phone: 270-441-4462 Fax: 270-441-4461 |