DR. MICHELE ANN GROSSMAN (NPI# 1952593964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952593964 |
| Entity Type | Individual |
| Full Name | DR. MICHELE ANN GROSSMAN |
| Other Name | DR. MICHELE ANN GENZLINGER |
| Credential | D.O. |
| Practice Address |
301 E Main St Southside Hospital Bay Shore NY 11706-8408 |
| Mailing Address |
45 Makamah Beach Rd Northport NY 11768-1338 |
| Practice Telephone | 6319683970 |
| Mailing Telephone | 6316788841 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 266690 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | OT012144 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
301 E MAIN ST SOUTHSIDE HOSPITAL |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053959 | Ebne Rafi | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-11-03 |
| 1154928711 | Brittany Lee Mulligan | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-10-07 |
| 1093322786 | Aliesha Wahab | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-09-26 |
| 1316553795 | Erica Anne Schott | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-09-21 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1669081865 | John William Mcdonnell Jr. | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-24 |
| 1205445566 | Michele Lisa Guelfi | Local Education Agency (LEA) | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1740899921 | Colleen Stubbs | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720176944 | Patricia Marie Daly | Emergency Medicine | 1850 Sunrise Hwy, Bay Shore, NY 11706-6012 | 2006-10-11 |
| 1578651493 | James Halfpenny | Emergency Medicine | 1757 Sunrise Hwy Ste B, Bay Shore, NY 11706-6014 | 2006-10-10 |
| 1447342399 | Rosetta Grella | Emergency Medicine | 1757 Sunrise Hwy, Bay Shore, NY 11706-6014 | 2006-09-29 |
| 1285112144 | Luke Borgese | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2018-08-02 |
| 1508246992 | Sha Yan | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2015-06-01 |
| 1235547449 | Kimberly Citarrella | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-07-31 |
| 1013325349 | Matthew David Schwartz | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2014-07-30 |
| 1528306586 | Snehal Patel | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706 | 2013-01-26 |
| 1982993226 | Amina Xiomara Watkins | Emergency Medicine | 301 E Main St, Bay Shore, NY 11706-8408 | 2011-04-06 |
| 1952544009 | Craig William Hertz | Emergency Medicine | 301 E Main St, Attention: Dept of Emergency Medicine, Bay Shore, NY 11706-8408 | 2009-04-18 |
| Find all providers in BAY SHORE | ||||
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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.