Lisa Marie Gronski, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

054041 Issued in CT

Practice address

339 W Main St
Avon, CT 06001-4322

Phone

(860) 696-2150

Fax

(860) 696-2160

NPI assigned

Apr 12, 2010

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Sports Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Connecticut Osteopathic Center

  • Sports Medicine (Internal Medicine) Physician
  • Canton, CT
  • NPI 1649929126
  Medicare reassignment NPD Authorized official
• Hartford Healthcare Medical Group, Inc

  • Surgery Physician
  • Wethersfield, CT
  • NPI 1043561301

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1265758577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-696-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-696-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSKI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "054041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Grant, PA
• Richard Jeffrey Grayson, DPM
• Veronique Green, LMSW
• Allison Greenberg, DDS
• Ira M Greene, D.D.S.
• Amanda Rose Guido, APRN
• Haley Marie Gustavson
• Timothy Habegger, LCSW
• Wendy F Habelow, PHD CLINICAL PSYCHOL
• Marsha Hahn, LCSW

• Internal Medicine Physician in Avon, CT
• Providers in Avon, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.