Active NPI
Richard a Grossman
- Specialist
- Durango, CO
National Provider Identifier
1194989913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20447
- Legal business name
- RICHARD A GROSSMAN
- Practice address
- 1 Mercado St Ste 105
Durango, CO 81301-7311 - Phone
- (970) 259-7679
- Fax
- (970) 382-0784
- NPI assigned
- Jul 10, 2008
- Last updated
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melody A Warren
- Title
- Biller
- Phone
- (970) 259-7679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20447 | CO | Primary |
Addresses
Primary practice location
1 Mercado St Ste 105
Durango, CO 81301-7311
Mailing address
PO Box 2674
Durango, CO 81302-2674
Phone (970) 259-7679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04016457 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Durango, CO
- NPI 1265448989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1194989913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2674",
"city": "DURANGO",
"state": "CO",
"postal_code": "813022674",
"telephone_number": "970-259-7679",
"fax_number": "970-382-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST STE 105",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017311",
"telephone_number": "970-259-7679",
"fax_number": "970-382-0784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A GROSSMAN",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "MELODY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "970-259-7679",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "20447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04016457",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.