Active NPI
Nathan Grossman, M.D.
- Public Health & General Preventive Medicine Physician
- Ocala, FL
National Provider Identifier
1104841493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- ME0044703
- Practice address
- 1801 SE 32ND Ave
Ocala, FL 34471-5532 - Phone
- (352) 629-0137
- Fax
- (352) 620-6840
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | ME0044703 | FL | Primary |
Addresses
Primary practice location
1801 SE 32ND Ave
Ocala, FL 34471-5532
Mailing address
1801 SE 32ND Ave
Ocala, FL 34471-5532
Phone (352) 629-0137
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010065021 | Other | FL | RAIL ROAD MEDICARE |
| 069454100 | Medicaid | FL | |
| 42199 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044703 | FL | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1104841493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344715532",
"telephone_number": "352-629-0137",
"fax_number": "352-620-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344715532",
"telephone_number": "352-629-0137",
"fax_number": "352-620-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "ME0044703",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "010065021",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069454100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "42199",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.