Basic Information
| Provider Information | |||||||||
| NPI: | 1821065459 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GROVES | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | CHESTER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | IV | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2175 N FORK DR | ||||||||
| Address2: | |||||||||
| City: | JUPITER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334583740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9734942355 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8900 N KENDALL DR | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331762197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7865962000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2006 | ||||||||
| LastUpdateDate: | 12/10/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085U0001X | 35350 | AZ | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound | 2085R0202X | 35350 | AZ | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | CS7943 | 01 | AZ | MEDICARE RAILROAD GROUP ID | OTHER | 1841261989 | 01 | AZ | GROUP NPI | OTHER | 005472 | 01 | AZ | GROUP MEDICAID ID | OTHER | 087520 | 05 | AZ | MEDICAID | 1821065459 | 01 | AZ | PHYSICIAN INDIVIDUAL NPI | OTHER | CS7943 | 01 | AZ | GROUP MEDICARE RAILROAD ID & PTAN | OTHER | ME123824 | 01 | FL | FLORIDA MEDICAL LICENSE | OTHER | P00318827 | 01 | AZ | MEDICARE RAILROAD | OTHER | ZWCBBM | 01 | AZ | MEDICARE GROUP ID | OTHER |