Provider Demographics
NPI:1851384101
Name:GROTE, CATHERINE MARTIN (DO)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARTIN
Last Name:GROTE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 1ST TER
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1704
Mailing Address - Country:US
Mailing Address - Phone:913-727-6000
Mailing Address - Fax:913-351-1346
Practice Address - Street 1:712 1ST TER
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043-1704
Practice Address - Country:US
Practice Address - Phone:913-727-6000
Practice Address - Fax:913-351-1346
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS527293207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100619OtherBC KS
KS2486017801Medicaid
MO24449010OtherBCBS KC
MO24449010OtherBCBS KC
100619Medicare ID - Type Unspecified