Provider Demographics
NPI:1720084601
Name:GROOS, ERICH B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:B
Last Name:GROOS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-320-7200
Mailing Address - Fax:615-320-7203
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-320-7200
Practice Address - Fax:615-320-7203
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2020-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN23890174400000X
TNMD23890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00001364OtherNHC HEALTH BENEFITS PLAN
TN3717165Medicaid
TN4243673OtherAETNA
TN180019311OtherRAIL ROAD MEDICARE
TN2616397006OtherCIGNA
TNF01637OtherHEALTHSPRING
TN3126357OtherBCBS
TN3126357OtherCENTRAL STATES
TN621745543OtherHUMANA
TN621745543000OtherPRUDENTIAL
TNOP34694OtherUNITED HEALTHCARE
TNF01637OtherSTERLING CLAIMS
TN3126357OtherTENNCARE SELECT
TN4243673OtherAETNA
TN3070013Medicare ID - Type UnspecifiedOPHTHALMOLOGIST