James G Grossman, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA044 Issued in ME

Practice address

32 Resort Way
Ellsworth, ME 04605

Phone

(207) 664-5480

Fax

(207) 664-5490

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• Sunbury Primary Care, P.a.

  dba Sunbury Medical Assocaites

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1437242294

  Physician Assistant

  NPD (past)
• Sunbury Primary Care, P.a.

  dba Bangor Family Medicine

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1255340790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION STREET",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-664-5304",
            "fax_number": "207-664-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RESORT WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-664-5480",
            "fax_number": "207-664-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "JAMES",
        "middle_name": "G",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297720099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana L Green, PAC
• Hunt Gressitt, PA
• Tammy L Grice, COTA
• Britta Noel Griffiths, IPDH
• Lisa Tobey Groo, LCPC, CADC, MHRT-CSP
• Rachael Grover, PT, DPT
• Growing Wild
• Paul J Gualtieri, D.D.S.
• Kathleen M Haass, RDH
• Lori-Anne Hallett, CADC

• Physician Assistant in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.