David Michael Grischkan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35 043703 Issued in OH

Practice address

24025 Commerce Park Rd
Beachwood, OH 44122

Phone

(216) 591-1420

Fax

(216) 591-1424

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 30, 2020 through Jun 30, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• David Grischkan MD Inc

  • Surgery Physician
  • Beachwood, OH
  • NPI 1639303290
  Authorized official Same address or phone
• Rockside Road Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Independence, OH
  • NPI 1174709786
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427149855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24025 COMMERCE PARK RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-591-1420",
            "fax_number": "216-591-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 COMMERCE PARK RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-591-1420",
            "fax_number": "216-591-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISCHKAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35 043703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397637",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol S Gress, LISW
• Anthony Lloyd Griffin
• Yeiny Grillo
• Irina Grinblat, NP-C
• Ashley N Grinonneau Denton, PCC
• Mark R Groner, LISW
• Sarah Gronowski
• Anna Grzebieniak
• Lisa M Gstalder
• Nathanial Joseph Gudz

• Surgery Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.