Fred Grossman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

16458 Issued in CO

Legal business name

FRED GROSSMAN, MD

Practice address

4200 W Conejos PL
Suite 536
Denver, CO 80204-1333

Phone

(303) 571-1355

Fax

(303) 571-1520

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Fred Grossman, MD

Title

Owner

Phone

(303) 571-1355

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1043483589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W CONEJOS PL",
            "address_2": "SUITE 536",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041333",
            "telephone_number": "303-571-1355",
            "fax_number": "303-571-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W CONEJOS PL",
            "address_2": "SUITE 536",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041333",
            "telephone_number": "303-571-1355",
            "fax_number": "303-571-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED GROSSMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-571-1355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "16458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01164581",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Frazier, OT
• Christopher H Frazier, MD
• Erin E Frazier, PA-C
• Keshan Alyse Frazier
• Monet Grace Frazier, MSW, LCSW
• Fred Grover Jr. M.D
• Beth Marie Fredeen, M.A. , NCC
• Douglas Fredeen, B.S.
• Lauren Fredeen, MOT, OTR/L
• Jon Frederick, PHD, LPC

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.