Gary M Grosel, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35062416 Issued in OH

Practice address

1901 Butterfield Rd
Suite 220
Downers Grove, IL 60515-7915

Phone

(630) 725-2700

Fax

(877) 216-8578

NPI assigned

May 24, 2006

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairview Hospital

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
  • NPI 1407953706
  NPD (past)
• Municipality of Skagway

  dba Dahl Memorial Clinic

  • Federally Qualified Health Center (FQHC)
  • Skagway, AK
  • NPI 1063574200
  NPD (past)
• Vein Clinics of Tristate, LLC

  • Phlebology Physician
  • Cincinnati, OH
  • NPI 1023751351
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1043265382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CROCKER RD",
            "address_2": "SUITE 207",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451964",
            "telephone_number": "440-835-5555",
            "fax_number": "440-835-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BUTTERFIELD RD",
            "address_2": "SUITE 220",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605157915",
            "telephone_number": "630-725-2700",
            "fax_number": "877-216-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSEL",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35062416",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35062416",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35062416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Griffin, PHARMD
• Bill H Grimm, PH.D.
• Kelly Grisafe, M.A. CF-SLP
• Shannon Gritzenbach, MD
• Keriann Groen, DPT
• Grounded Therapy PLLC
• Grove Dental Associates., P.C.
• Grove Diagnostic Solutions Inc
• Thomas Kenneth Grudowski
• Kathleen Gruzalski, MD

• Surgery Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.