DR. MARK D GROSSNICKLE (NPI# 1508844473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508844473 |
| Entity Type | Individual |
| Full Name | DR. MARK D GROSSNICKLE |
| Credential | MD |
| Practice Address |
1900 16th St Greeley CO 80631-5114 |
| Practice Telephone | 9703502427 |
| Practice Fax Number | 9703502421 |
| Mailing Telephone | 9703502427 |
| Mailing Fax Number | 9703502421 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2013-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 29337 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE RAILROAD CARRIER PTAN | P00944742 | 01 |
| CO | 01293372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281076 | Mark Earl Grossnickle | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-11-07 |
| Street Address |
1900 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349823 | Marcus Reinhardt | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2005-07-08 |
| 1750905527 | Poudre Valley Medical Group, LLC | Preventive Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-08 |
| 1134743503 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-02 |
| 1336761436 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
| 1144842261 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
| 1134748742 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-04-14 |
| 1013576370 | Medical Center of The Rockies | Clinic/Center | 1900 16th St, Greeley, CO 80631-5114 | 2019-06-11 |
| 1891250965 | Poudre Valley Medical Group, LLC | Clinic/Center | 1900 16th St, Greeley, CO 80631-5114 | 2019-02-04 |
| 1205357795 | Kelley Stromer | Pharmacist | 1900 16th St, Greeley, CO 80631-5114 | 2017-07-05 |
| 1023560034 | Kathryn Milizio | Physician Assistant | 1900 16th St, Greeley, CO 80631-5114 | 2016-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558680082 | Garrett Micah Snyder | Orthopaedic Surgery | 5890 W 13th St Ste 101, Greeley, CO 80634-4821 | 2010-05-24 |
| 1942289491 | Scott K Dhupar | Orthopaedic Surgery | 6200 W 9th St, Unit #1b, Greeley, CO 80634-4462 | 2006-01-12 |
| 1609850056 | Thomas J Pazik | Orthopaedic Surgery | 5890 W 13th St, Ste 101, Greeley, CO 80634-4821 | 2005-11-30 |
| 1184608531 | Thomas J Pazik Md LLC | Orthopaedic Surgery | 6801 W 20th St, Ste 201, Greeley, CO 80634-9637 | 2005-11-30 |
| 1023626157 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-07-15 |
| 1942594080 | Lisa Jeannine Nash | Orthopaedic Surgery | 5890 W 13th St Ste 101, Greeley, CO 80634-4821 | 2011-06-07 |
| 1598989303 | Gilbert Anderson | Orthopaedic Surgery | 5890 W 13th St, Suite 101, Greeley, CO 80634-4821 | 2007-04-12 |
| 1174578926 | Randy M Bussey | Orthopaedic Surgery | 5890 W 13th St, 101, Greeley, CO 80634-4816 | 2006-05-23 |
| 1790730562 | Kelly R Sanderford | Orthopaedic Surgery | 5890 W 13th St, 101, Greeley, CO 80634-4816 | 2006-05-23 |
| 1679528541 | Steven D Sides | Orthopaedic Surgery | 1900 16th St, Greeley, CO 80631-5114 | 2006-05-22 |
| Find all providers in GREELEY | ||||
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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.