SCOTT T GRODMAN (NPI# 1184618811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184618811 |
| Entity Type | Individual |
| Full Name | SCOTT T GRODMAN |
| Credential | DPM |
| Practice Address |
9300 Pardee Rd Suite A Taylor MI 48180-3528 |
| Practice Telephone | 3132951620 |
| Practice Fax Number | 3132951622 |
| Mailing Telephone | 3132951620 |
| Mailing Fax Number | 3132951622 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5901001478 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2948227 | 05 | |
| MI | BC DME | 0H22790 | 01 |
| MI | BC | 48-0H244260 | 01 |
| MI | BC | 4858213180 | 01 |
| Street Address |
9300 PARDEE RD SUITE A |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750564050 | Scott Grodman Dpm PC | Durable Medical Equipment & Medical Supplies | 9300 Pardee Rd, Suite A, Taylor, MI 48180-3528 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356543219 | Robert A. Yagoobian, D.p.m., P.C. | Podiatrist | 23234 Ecorse Rd, Taylor, MI 48180-1769 | 2007-06-04 |
| 1104839018 | Scott David Rieder | Podiatrist | 1018 S Main St, Taylor, PA 18517-2104 | 2006-08-14 |
| 1992761514 | Robert A Yagoobian | Podiatrist | 9224 Pelham Rd, Taylor, MI 48180-3832 | 2006-04-22 |
| 1831539030 | Ankle and Footcare Specialist Plc | Podiatrist | 23234 Ecorse Rd, Taylor, MI 48180-1769 | 2013-07-02 |
| 1174708101 | Scott Rieder D.p.m. | Podiatrist | 1018 S Main St, Taylor, PA 18517-2104 | 2008-01-09 |
| 1346397841 | Allan L Kalmus | Podiatrist | 11368 Allen Rd, Taylor, MI 48180-4372 | 2007-01-05 |
| 1043375173 | Paul Ling Tai | Podiatrist | 9224 Pelham Rd, Taylor, MI 48180-3832 | 2006-12-27 |
| 1275617649 | Lawrence M Fallat Dpm PC | Podiatrist | 20555 Ecorse Rd, Taylor, MI 48180-1992 | 2006-10-24 |
| 1265516603 | Pamela Morrison | Podiatrist | 20555 Ecorse Rd, Taylor, MI 48180-1992 | 2006-10-24 |
| 1669562815 | Theodore Bens | Podiatrist | 9224 Pelham Rd, Taylor, MI 48180-3832 | 2006-10-16 |
| Find all providers in TAYLOR | ||||
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| 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.