Individual
TED GROSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 N KEENE ST, STE 101, COLUMBIA, MO 65201-6986
(573) 882-6921
(573) 882-1154
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD31289
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102486
HEALTHLINK
MO
01
—
140113001
ARKANSAS MEDICAID
AR
05
—
200528107
—
MO
01
—
2086349901
KANSAS MEDICAID
KS
01
—
3730
BLUE SHIELD/BLUE CHOICE
MO
01
—
7509311
UNITED HEALTHCARE
MO
Enumeration date
05/22/2006
Last updated
08/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us