Healthcare Provider Details

I. General information

NPI: 1851384101
Provider Name (Legal Business Name): CATHERINE MARTIN GROTE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 1ST TER
LANSING KS
66043-1704
US

IV. Provider business mailing address

712 1ST TER
LANSING KS
66043-1704
US

V. Phone/Fax

Practice location:
  • Phone: 913-727-6000
  • Fax: 913-351-1346
Mailing address:
  • Phone: 913-727-6000
  • Fax: 913-351-1346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number527293
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: