MR. RICHARD GROSSMAN (NPI# 1063695112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063695112 |
| Entity Type | Individual |
| Full Name | MR. RICHARD GROSSMAN |
| Credential | BA |
| Practice Address |
4209 Sw Mcclellen St Port St Lucie FL 34953-6135 |
| Practice Telephone | 7723367516 |
| Practice Fax Number | 7723367516 |
| Mailing Telephone | 7723367516 |
| Mailing Fax Number | 7723367516 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962508655 | Richard Saul Grossman | Internal Medicine | 10 Ole Musket Rd, Unit 5, Cumberland Foreside, ME 04110-1422 | 2006-09-16 |
| 1750312930 | Richard Reid Grossman | Dentist | 489 Market St, Kingston, PA 18704-4534 | 2006-07-05 |
| 1447208715 | Richard Alan Grossman | Optometrist | 488 Pleasant St, Worcester, MA 01609-1857 | 2006-05-05 |
| 1285765917 | Richard David Grossman | Acupuncturist | 530 Wilshire Blvd, Suite 203, Santa Monica, CA 90401-1421 | 2007-03-07 |
| 1558428631 | Richard Grossman | Psychologist | 122 Thorndike St, Brookline, MA 02446-5845 | 2007-01-02 |
| 1548348642 | Richard F. Grossman | Plastic Surgery | 1199 Bush St, Suite 390, San Francisco, CA 94109-5999 | 2006-11-02 |
| 1063598308 | Richard Grossman | Pharmacist | 3390 West Rd, Trenton, MI 48183-2323 | 2006-10-30 |
| 1871607465 | Richard Mark Grossman | Orthopaedic Surgery | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2006-08-19 |
| 1265448989 | Richard Grossman | Obstetrics & Gynecology | 1 Mercado St, Suite 105, Durango, CO 81301-7300 | 2006-08-01 |
| Street Address |
4209 SW MCCLELLEN ST |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285284745 | Ronn Daigle | Case Manager/Care Coordinator | 6701 Woods Island Cir Apt 105, Port St Lucie, FL 34952-1482 | 2019-09-17 |
| 1053872986 | Marie E Solide | Case Manager/Care Coordinator | 1526 Sw Broadview St, Port St Lucie, FL 34983-2993 | 2019-03-25 |
| 1669941506 | Linda Prevalon | Case Manager/Care Coordinator | 4602 Sw Joffre St, Port St Lucie, FL 34953-6638 | 2018-11-21 |
| 1922592864 | Deadra L Nisbeth-lewis | Case Manager/Care Coordinator | 2312 Sw Import Dr, Port St Lucie, FL 34953-5796 | 2018-06-14 |
| 1073028072 | Mayra Fitzgerald | Case Manager/Care Coordinator | 1201 Sw Thomas Ct, Port St Lucie, FL 34953-4271 | 2017-12-12 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1912364886 | Chastity Velez-soto | Case Manager/Care Coordinator | 702 Se White Ave, Port St Lucie, FL 34983-2672 | 2016-01-24 |
| 1801263736 | Maria Entner | Case Manager/Care Coordinator | 11154 Sw Wyndham Way, Port St Lucie, FL 34987-2752 | 2015-08-26 |
| 1790177202 | Freddy Chavarro | Case Manager/Care Coordinator | 237 Sw Sterret Cir, Port St Lucie, FL 34953-3325 | 2015-02-21 |
| 1912309642 | Shalita Pettway | Case Manager/Care Coordinator | 7229 Pine Lakes Blvd, Port St Lucie, FL 34952 | 2014-09-25 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on MR. RICHARD GROSSMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.