- Practice location
- 267 N Canyon Dr, Gooding, ID 83330-5500
- Phone
- 208-329-0345
- Fax
- —
- Last updated
- March 27, 2023
Kyle Grooms is an Orthopaedic Surgery, Hand Surgery based in Gooding, ID. Kyle Grooms practices in Gooding, ID and has the professional credentials of MD. The NPI Number for Kyle Grooms is 1548680622 and holds a License No. 62312 (CT). The current practice location address for Kyle Grooms is 267 N Canyon Dr, Gooding, ID 83330-5500 and can be reached out via phone at 208-329-0345.
Provider Profile Details
- NPI Number
- 1548680622
- Provider Name
- Kyle Grooms
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 267 N Canyon Dr, Gooding, ID 83330-5500
- Phone Number
- 208-329-0345
- Primary Taxonomy
- Orthopaedic Surgery, Hand Surgery · 207XS0106X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2014
- Last Update Date
- March 27, 2023
- Certification Date
- March 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - City
- Gooding
- State
- Idaho
- Zip
- 83330-5500
- Phone Number
- 208-329-0345
Provider Business Mailing Address Details
- Address
- 195 Eastern Blvd Ste 200
Glastonbury, CT 06033-4353 - City
- Glastonbury
- State
- CT
- Zip
- 06033-4353
- Phone Number
- 918-616-5409
License Information
- License Number (1)
- 62312
- License State (1)
- CT
- Taxonomy (1)
- Orthopaedic Surgery · 207X00000X
- License Number (2)
- 62312
- License State (2)
- CT
- Taxonomy (2)
- Orthopaedic Surgery, Orthopaedic Trauma · 207XX0801X
- License Number (3)
- 62312
- License State (3)
- CT
- Taxonomy (3)
- Orthopaedic Surgery, Hand Surgery · 207XS0106X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery, Hand Surgery providers near Gooding, ID
View all Orthopaedic Surgery, Hand Surgery providers in Gooding →Frequently Asked Questions
What is the NPI number of Dr. Kyle Grooms, MD?
The NPI number of Dr. Kyle Grooms, MD is 1548680622. It was assigned on April 16, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Kyle Grooms, MD?
Dr. Kyle Grooms, MD is registered under the primary taxonomy Orthopaedic Surgery, Hand Surgery (code 207XS0106X), licensed in CT under license number 62312.
Where does Dr. Kyle Grooms, MD practice?
The practice location is 267 N Canyon Dr, Gooding, ID 83330-5500. The office can be reached at 208-329-0345 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548680622 directly on the NPPES registry website.