Marie E. Grohman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00035561 Issued in WA

Practice address

1380 112TH Ave NE
#100
Bellevue, WA 98004-3759

Phone

(425) 454-8191

Fax

(425) 454-3037

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245302215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12239 SE 92ND ST",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980562063",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE",
            "address_2": "#100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-454-8191",
            "fax_number": "425-454-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHMAN",
        "first_name": "MARIE",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00035561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linden Griffith
• Rhiannon Griffith
• Sue Griffith
• Liliya Grigoryants
• Ola Grimsby Jr., PT, MOMT, FAAOMPT
• Jason Dwane Grose, LMP
• Eleanor Elizabeth Gross
• David C Grossman, M.D.
• Leighe Grotenhuis, MD
• Group Health

• Family Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.