DR. MICHAEL R. GROSSMAN (NPI# 1225011786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225011786 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R. GROSSMAN |
| Credential | DPM |
| Practice Address |
121 Coulter Ave Suite 109 Ardmore PA 19003-2418 |
| Practice Telephone | 6106456314 |
| Practice Fax Number | 6106459923 |
| Mailing Telephone | 6106456314 |
| Mailing Fax Number | 6106459923 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2011-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC003470R | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1013601290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407217540 | Michael Grossman | Chiropractor | 425 Washington St Ste 100, San Francisco, CA 94111-2345 | 2016-03-17 |
| 1215016662 | Michael Samuel Grossman | Ophthalmology | 4505 N Rockwood Dr, Peoria, IL 61615-3803 | 2006-11-06 |
| 1417055286 | Michael Alan Grossman | Dentist | 6246 East Pima Street, Suite 100, Tucson, AZ 85712-3157 | 2006-09-20 |
| 1659488997 | Michael Grossman | Internal Medicine | 550 E Van Buren St, Building 3, Room 3261, Phoenix, AZ 85004-2230 | 2006-08-24 |
| 1831188218 | Michael J Grossman | Obstetrics & Gynecology | 565 Turnpike St, Suite 74, North Andover, MA 01845-5922 | 2005-10-18 |
| 1245239102 | Michael Grossman | Emergency Medicine | 4505 20th Ave, Valley, AL 36854-3542 | 2005-07-21 |
| 1467455816 | Michael Paul Grossman | Obstetrics & Gynecology | 38a Old Sparrowbush Road, Latham, NY 12110 | 2005-05-31 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| 1942367008 | Michael Jack Grossman | Family Medicine | 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630-3939 | 2007-01-01 |
| 1265594758 | Michael S Grossman | Specialist | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2006-12-14 |
| Street Address |
121 COULTER AVE SUITE 109 |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437594272 | Alexandra B. Mclean, M.d., PC | Exclusive Provider Organization | 121 Coulter Ave, 207, Ardmore, PA 19003-2418 | 2013-05-07 |
| 1740596899 | Anthony Charles Cook | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2010-08-27 |
| 1194942045 | Joseph Digiacomo | Psychiatry & Neurology | 121 Coulter Ave, Suite 108, Ardmore, PA 19003-2418 | 2007-04-20 |
| 1841354081 | Michael R. Grossman, Dpm | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2006-12-21 |
| 1225197452 | Luciano Lizzi | Psychiatry & Neurology | 121 Coulter Ave, Suite 106, Ardmore, PA 19003-2418 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| 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 |
|---|---|---|---|---|
| 1174611875 | Lloyd B Landis | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-10 |
| 1427066919 | Eric Ricefield | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| 1265440762 | Your Next Step PC | Podiatrist | 39 Rittenhouse Place, Ardmore, PA 19003 | 2006-08-03 |
| 1932143757 | Leonard H Goldsmith | Podiatrist | 119 Mill Creek Rd, # H1n, Ardmore, PA 19003-1535 | 2006-06-15 |
| 1003889494 | Douglas F. Klepfer | Podiatrist | 694 Pont Reading Rd, First Floor, Ardmore, PA 19003-1917 | 2006-02-08 |
| 1417943978 | Richard B Cohen | Podiatrist | 119 Coulter Ave, Ardmore, PA 19003-2427 | 2005-09-21 |
| 1265963284 | Leonard H Goldsmith Dpm | Podiatrist | 119 Mill Creek Rd, H1n, Ardmore, PA 19003-1535 | 2017-03-22 |
| 1841354081 | Michael R. Grossman, Dpm | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2006-12-21 |
| 1174611578 | James Q Mcclelland | Podiatrist | 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 | 2006-10-11 |
| 1831107325 | Mark Christopher Yagodich | Podiatrist | 39 Rittenhouse Pl, Ardmore, PA 19003-2209 | 2006-08-03 |
| Find all providers in ARDMORE | ||||
Please comment or provide details below to improve the information on DR. MICHAEL R. 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.