Organization Active NPI

Grossman Internal Medicine, Inc

  • Internal Medicine Physician
  • Bedford, OH
National Provider Identifier
1003160557
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GROSSMAN INTERNAL MEDICINE, INC
Practice address
88 Center Rd
Ste 280
Bedford, OH 44146-2700
Phone
(440) 232-5215
Fax
(440) 786-8554
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Grossman, MD
Title
Owner/ President
Phone
(440) 232-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

88 Center Rd
Ste 280
Bedford, OH 44146-2700

Mailing address

88 Center Rd
Ste 280
Bedford, OH 44146-2700
Phone (440) 232-5215

Other identifiers 1

IdentifierTypeStateIssuer
0078592MedicaidOH

National Provider Directory

National Provider Directory

Locations

88 Center Rd
Ste 280
Bedford, OH 44146
Phone (440) 232-5215

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1003160557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "STE 280",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462700",
            "telephone_number": "440-232-5215",
            "fax_number": "440-786-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "STE 280",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462700",
            "telephone_number": "440-232-5215",
            "fax_number": "440-786-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN INTERNAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "440-232-5215",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.