IndividualActive
Jeremy Grogg, M.D.
NPI 1053579599 · Endocrinology, Diabetes & Metabolism Physician · Fort Wayne, IN
Provider details
- NPI number
- 1053579599
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01066660A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11141 Parkview Plaza Dr Ste 311
Fort Wayne, IN 46845-1714
Phone: (260) 266-8840
Fax: (260) 266-8849
Approximate (ZIP-level) locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.