MEDICARE: KIETH W GROH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2001021519	MO
2	207P00000X	Emergency Medicine Physician	2001021519	MO

General Provider Information

NPI Number	:	1588621585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIETH W GROH MD

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	551 E SOUTHAMPTON DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4236
Country	:	US
Telephone Number	:	573-882-1662
Fax Number	:	573-882-4096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	04/18/2019

Similar Medicare Providers

1225989825 — DR. COURTNEY JORGENSON BERNARDIN PHD
Practice Location Address:

701 VETERANS UNITED DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-884-6052
Practice Fax: 573-884-1151

1780648014 — STEPHEN MICHAEL KANNE PHD
Practice Location Address:

701 VETERANS UNITED DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-884-6052
Practice Fax: 573-884-1151

1871551739 — JEFFERY L BELDEN MD
Practice Location Address:

551 E SOUTHAMPTON DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-884-7733
Practice Fax: 573-882-6228

1225086788 — REGINA M SELVA M.D.
Practice Location Address:

551 E SOUTHAMPTON DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-882-4730
Practice Fax: 573-884-4899

1598713208 — MARGARET ANN YOEST APRN
Practice Location Address:

551 E SOUTHAMPTON DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-882-2511
Practice Fax: 573-884-4515

1235182866 — DR. ANDREW J KNOOP PHD
Practice Location Address:

701 VETERANS UNITED DR
COLUMBIA, MO
65201-4236

Practice Phone: 573-884-6052
Practice Fax: 573-884-1151

Directions to “ KIETH W GROH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.