MARK L GROTHMANN (NPI# 1942273271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942273271 |
| Entity Type | Individual |
| Full Name | MARK L GROTHMANN |
| Credential | ATC |
| Practice Address |
450 Ellis Ln West Chester PA 19380-5123 |
| Mailing Address |
307 N Chester Rd West Chester PA 19380-6622 |
| Practice Telephone | 4842663938 |
| Mailing Telephone | 6104292400 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225500000X | Specialist/Technologist | RT000133A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT000133A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
450 ELLIS LN |
| City | WEST CHESTER |
| State | PA |
| Zip Code | 19380-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912437641 | Leah Dell | Specialist/Technologist | 450 Ellis Ln, West Chester, PA 19380-5123 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846062 | Mikaela Lynn Mastromatto | Occupational Therapist | 1615 Boot Rd, West Chester, PA 19380 | 2020-09-17 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1457984759 | Dana Marie Buckalew | Nurse Practitioner | 915 Fern Hill Road, Building A Suite 3, West Chester, PA 19380 | 2020-02-15 |
| 1285102921 | Audrey Caulfeild Caspar-clark | Dietitian, Registered | 221 Chatham Way, West Chester, PA 19380 | 2018-11-12 |
| 1497245260 | Hshc, Inc. | Audiologist-Hearing Aid Fitter | 131 North Church Street, West Chester, PA 19380 | 2018-05-16 |
| 1164946364 | Kevin Hayes | Social Worker | 310 N Matlack St., West Chester, PA 19380 | 2017-07-29 |
| 1750804472 | Pamela Ann Najera | Psychologist | 390 E. Boot Road, West Chester, PA 19380 | 2017-07-25 |
| 1356723613 | Rynda Ross Ganster | Nurse Practitioner | 400 E. Marshall St., West Chester, PA 19380 | 2015-06-23 |
| 1164823845 | Jeffrey Diksa | Behavioral Analyst | 117 E Chestnut St., Apt 307, West Chester, PA 19380 | 2014-09-12 |
| 1134535057 | Miranda Wolff | Speech-Language Pathologist | 1507 Manchester Ct, Apt 304, West Chester, PA 19380 | 2014-07-11 |
| Find all providers in zip 19380 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538687587 | Garrett David Bosworth | Specialist/Technologist | 3600 Atwood St, Pittsburgh, PA 15213 | 2017-08-30 |
| 1669841391 | Kyle Datz | Specialist/Technologist | 311 Ridge St, Freeland, PA 18224-2021 | 2015-09-23 |
| 1265695845 | Kelly L Hitchings | Specialist/Technologist | 589 Laurel Run Road, W Decatur, PA 16878 | 2008-07-03 |
| 1306988985 | Wiley F Nelson | Specialist/Technologist | 625 Brown Ave, Turtle Creek, PA 15145-1137 | 2007-02-12 |
| 1467440396 | April Michele Mcdonald | Specialist/Technologist | Windsor St, Hamburg High School, Hamburg, PA 19526 | 2005-10-13 |
| 1316932627 | Todd E Bartley | Specialist/Technologist | 56 Prestwick Ct, Royersford, PA 19468-1546 | 2005-09-13 |
| 1285231910 | Gabriel Jose Diaz Cruz | Specialist/Technologist | 100 Front St Ste 280, Conshohocken, PA 19428-2891 | 2020-10-06 |
| 1649752940 | Laura Jean Marshall | Specialist/Technologist | 3719 Terrace St, Pittsburgh, PA 15213 | 2018-09-04 |
| 1760964399 | Rylie Krapf | Specialist/Technologist | 1801 N Broad St, Philadelphia, PA 19122-6003 | 2018-08-30 |
| 1346783156 | Kelsey Wall | Specialist/Technologist | 960 Century Dr, Mechanicsburg, PA 17055-4530 | 2016-11-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 19380 |
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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.