Active NPI
Rodney E. Grolman, M.D., P.a.
- Surgery Physician
- Baltimore, MD
National Provider Identifier
1407846769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0060134
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62011001 | Other | MD | BLUE SHIELD |
| K1550001 | Other | DC | BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Moses Lake, WA
- NPI 1457340986
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.