Organization Active NPI

Rodney E. Grolman, M.D., P.a.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1407846769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0060134 Issued in MD
Legal business name
RODNEY E. GROLMAN, M.D., P.A.
Practice address
3421 Benson Ave
Ste 210
Baltimore, MD 21227-1056
Phone
(410) 368-2700
Fax
(410) 368-3569
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodney Edmin Grolman, M.D.NPI 1457340986
Title
President
Phone
(410) 368-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D0060134 MD Primary

Addresses

Primary practice location

3421 Benson Ave
Ste 210
Baltimore, MD 21227-1056

Mailing address

8 Charles PLZ
Apt 2704
Baltimore, MD 21201-4238
Phone (410) 368-2700

Other identifiers 2

IdentifierTypeStateIssuer
62011001OtherMDBLUE SHIELD
K1550001OtherDCBLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407846769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHARLES PLZ",
            "address_2": "APT 2704",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014238",
            "telephone_number": "410-368-2700",
            "fax_number": "410-368-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE",
            "address_2": "STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271056",
            "telephone_number": "410-368-2700",
            "fax_number": "410-368-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY E. GROLMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROLMAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "EDMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-368-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0060134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "62011001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "K1550001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.