Provider Demographics
NPI:1215270574
Name:GROTH, DAVID HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HENRY
Last Name:GROTH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3261
Mailing Address - Country:US
Mailing Address - Phone:513-793-7672
Mailing Address - Fax:
Practice Address - Street 1:25 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-3261
Practice Address - Country:US
Practice Address - Phone:513-793-7672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.031423207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology