Individual ProviderThomas John GrothePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address984300 Nebraska Medical Ctr, Omaha, NE 68198-4300(402) 559-9495PECOS EnrollmentBased on the most recent information from CMS, provider Thomas John Grothe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689966632Provider TypeIndividualFull NameGrothe, Thomas JohnCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date5/10/2011Last Updated5/10/2011Contact InformationPractice LocationPractice Address984300 Nebraska Medical Ctr, Omaha, NE 68198-4300Phone(402) 559-9495Fax(402) 559-7996Mailing LocationMailing Address984300 Nebraska Medical Ctr, Omaha, NE 68198-4300Phone(402) 559-9495Fax(402) 559-7996Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense344Nebraska