Active NPI
William J Grossman, M.D.
- Cardiovascular Disease Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 6926
- Practice address
- 191 Rutledge Avenue
Charleston, SC 29403 - Phone
- (843) 723-1614
- Fax
- (843) 727-2980
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 6926 | SC | Primary |
Addresses
Primary practice location
191 Rutledge Avenue
Charleston, SC 29403
Mailing address
191 Rutledge Avenue
Charleston, SC 29403
Phone (843) 723-1614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069268 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6926 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Hospital Inc. | Current | Accepting new patients | |
| Roper Hospital, Inc. | Current | Accepting new patients | |
| Carolina Family Care | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Roper Hospital, Inc. | Current | Accepting new patients |
Locations
316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000
1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555
1113 Park West Blvd
Mt Pleasant, SC 29466
Phone (843) 876-1445
1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
- Infectious Disease Physician
- Charleston, SC
- NPI 1104150739
-
- Pediatrics Physician
- Charleston, SC
- NPI 1851541221
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N. Charleston, SC
- NPI 1104563758
-
- Geriatric Medicine (Internal Medicine) Physician
- Charleston, SC
- NPI 1447618418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1023068897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 RUTLEDGE AVENUE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29403",
"telephone_number": "843-723-1614",
"fax_number": "843-727-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 RUTLEDGE AVENUE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29403",
"telephone_number": "843-723-1614",
"fax_number": "843-727-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "6926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069268",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.