Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154941102 Individual Practitioner Male Practitioner

Dr. Douglas Grove , MD

General Practice • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Grove, MD is a registered healthcare professional specializing in General Practice in Milwaukee, WI. Practice services are available at 9200 W WISCONSIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Telephone 4148052715
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Milwaukee, WI (130 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-30
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2022041020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1265484166

Doctor of Medicine (M.D.)

Dr. Justin Ko , MD

Anesthesiology

NPI 1295551232

Doctor of Medicine (M.D.)

Denise Perales , APNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1306087242

Advanced Practice Nurse Prescriber, Certified Registered Nurse Anesthetist

Bryan Vissat , MSN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1467019042

Master of Science in Nursing, Certified Registered Nurse Anesthetist

NPI 1588907430

Doctor of Medicine (M.D.)

NPI 1902120561

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2020

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148052715)

📍
Updated Business Mailing Address April 20, 2020

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148052715)

👤
Provider Name / Credentials Updated April 20, 2020

Recorded as DOUGLAS GROVE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154941102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2020
Last Update: December 14, 2022
Sole Proprietor: No

Mailing Address

9200 W Wisconsin Ave

Milwaukee, WI 532263522

Phone: 4148052715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.