Michael Harris Grocholski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11975 Issued in FL

Practice address

120 International Pkwy Ste 124
Lake Mary, FL 32746-5052

Phone

(407) 829-2133

Fax

(407) 829-2135

NPI assigned

Sep 26, 2016

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kro Holdings, LLC

  • Chiropractor
  • Venice, FL
  • NPI 1770279291
  Medicare reassignment NPD Authorized official
• Gulf Coast Health Care Services, Inc.

  • Psychiatry Physician
  • Venice, FL
  • NPI 1356355358
  NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417406992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465052",
            "telephone_number": "407-829-2133",
            "fax_number": "407-829-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY STE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465052",
            "telephone_number": "407-829-2133",
            "fax_number": "407-829-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROCHOLSKI",
        "first_name": "MICHAEL",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Michelle Griffith
• Andrew Griffiths
• Zulma Grijalba, RMHCI
• Amber Grimm, PA-C
• Challis Amanda Beven Grimm, ARNP
• Edward John Gross, M.D.
• Sharon Lee Gross, PT
• Annika Lou Gudel
• Larissa Antonia Guerrero, MD
• Kayla Elizabeth Guevara

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.