MELVIN M. GROSSMAN, M.D. (NPI# 1942692058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942692058 |
Entity Type | Organization |
Organization Name | MELVIN M. GROSSMAN, M.D. |
Practice Address |
4700 Sheridan St Suite U Hollywood FL 33021-3420 |
Practice Telephone | 9549626333 |
Practice Fax Number | 9549632442 |
Mailing Telephone | 9549626333 |
Mailing Fax Number | 9549632442 |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-02-26 |
Authorized Official Name | DR. MELVIN M GROSSMAN (PHYSICIAN) |
Authorized Official Telephone | 9549626333 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
FLME0041670 | FL | Allopathic & Osteopathic Physicians |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
FLME0041670 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 066156200 | 05 | |
FL | AVMED | 204628 | 01 |
FL | BCBS | 94283 | 01 |
FL | RAILROAD MEDICARE | 130019943 | 01 |
Street Address |
4700 SHERIDAN ST SUITE U |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-3420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861492340 | David Jassir | Otolaryngology | 4700 Sheridan St, Suite K, Hollywood, FL 33021-3420 | 2005-07-27 |
1629446422 | Adalis Caridad Molina-burset | Physician Assistant | 4700 Sheridan St, Suite M, Hollywood, FL 33021-3420 | 2015-09-10 |
1043603723 | South Florida Rheumatology LLC | Internal Medicine | 4700 Sheridan St, Suite C, Hollywood, FL 33021-3420 | 2015-03-05 |
1609209741 | Richard Lee Balick | Dentist | 4700 Sheridan St, A, Hollywood, FL 33021-3420 | 2013-08-13 |
1356606750 | Lymphatic Solutions & Therapy, LLC | Occupational Therapist | 4700 Sheridan St, Suite J, Hollywood, FL 33021-3420 | 2012-07-11 |
1639490980 | Aida Lelly Sek | Behavioral Analyst | 4700 Sheridan St, Suite J, Hollywood, FL 33021-3420 | 2010-06-21 |
1750601373 | Creative Solutions 4 Kids and Families LLC | Community/Behavioral Health | 4700 Sheridan St, Suite J, Hollywood, FL 33021-3420 | 2010-06-04 |
1740504778 | Adam Chad Lessne | Internal Medicine | 4700 Sheridan St, Suite F, Hollywood, FL 33021-3420 | 2010-03-19 |
1831424571 | Julie A Chen | Counselor | 4700 Sheridan St, Suite J, Hollywood, FL 33021-3420 | 2009-10-14 |
1275766933 | Devina D Cruickshank | Social Worker | 4700 Sheridan St, Suite J, Hollywood, FL 33021-3420 | 2009-08-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760972616 | Neurofuture LLC | Psychiatry & Neurology | 7369 Sheridan St Ste 202, Hollywood, FL 33024-2776 | 2018-05-16 |
1932140902 | Seth Craig Tarras | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2006-06-09 |
1932159670 | Eduardo Cutie | Psychiatry & Neurology | 7369 Sheridan St Ste 101, Hollywood, FL 33024-2776 | 2006-05-11 |
1336553163 | Christian Bacheler | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2014-06-19 |
1720308034 | Sean Thomas Kenniff | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021-5468 | 2010-06-09 |
1962722876 | Adnan M Subei | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2010-06-03 |
1750583126 | Maike Tiede Blaya | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2007-06-05 |
1144422502 | Mhd Tarek Zakaria | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2007-06-05 |
1427178664 | Pines Eeg Associates, Inc. | Psychiatry & Neurology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2007-03-30 |
1750474060 | Stuart B Brown | Psychiatry & Neurology | 4440 Sheridan St, Hollywood, FL 33021-3535 | 2006-10-02 |
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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.