David E Grosz, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5058 Issued in ND

Practice address

100 4TH St S Ste 612
Fargo, ND 58103-1940

Phone

(701) 235-0561

Fax

(701) 235-0330

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1336237684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 4TH ST S STE 612",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031940",
            "telephone_number": "701-235-0561",
            "fax_number": "701-235-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSZ",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "5058",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "28931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2M041GR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "11356",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICES",
            "identifier": "892975",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14616",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda M Gross, CRNA
• Gerald G Gross, MD
• Johanna Liv Gross, LCSW
• Todd Arlen Gross, C.R.N.A.
• Carla Andrea Grossoli, M.D.
• Kenneth Daniel Grosz, M.D.
• Bonnie L Groth, NP
• Melissa Groth
• Avis L Grothem, FNP/CNM
• Pam Grothman, RN

• Ophthalmology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Ophthalmology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.