LEONARD E GROSSO (NPI# 1548280969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548280969 |
Entity Type | Individual |
Full Name | LEONARD E GROSSO |
Credential | MD PHD |
Practice Address |
1402 S Grand St Louis MO 63110 |
Mailing Address |
3691 Rutger Ave Provider Enrollment St Louis MO 63110 |
Practice Telephone | 3145778693 |
Practice Fax Number | 3142685478 |
Mailing Telephone | 3149774440 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2008-03-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZI0100X |
Pathology Specialization: Immunopathology |
R6J66 | MO | Allopathic & Osteopathic Physicians |
N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
R6J66 | MO | Allopathic & Osteopathic Physicians |
Street Address |
1402 S GRAND |
City | ST LOUIS |
State | MO |
Zip Code | 63110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760591325 | Michael A Graham | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-08-29 |
1902817562 | Christine M Janney | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-08-10 |
1366456840 | Edward Stephen Bolesta | Pathology | 1402 S Grand, St Louis, MO 63104 | 2006-07-28 |
1073527552 | Nancy J Phillips | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-07-28 |
1437172616 | Richard G Hoover | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 207ZI0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Immunopathology |
A pathologist who specializes in the diagnosis of immunologic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164495412 | St Louis University | Pathology | 1402 South Grand, St Louis, MO 63104 | 2006-02-08 |
1437172616 | Richard G Hoover | Pathology | 1402 S Grand, St Louis, MO 63110 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871664953 | Cheng C Tsai | Pathology | 2326 Millpark Dr, Maryland Heights, MO 63043-3530 | 2006-11-13 |
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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.