Marvin N Grossman, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

36001528 Issued in OH

Practice address

1266 S Main St
North Canton, OH 44720-4271

Phone

(330) 494-2700

Fax

(330) 494-6898

NPI assigned

Dec 10, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Podiatry Center, Inc

  • Foot Surgery Podiatrist
  • Canton, OH
  • NPI 1588750707
  NPD (past)

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

{
    "created_epoch": "1134172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1538144704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204271",
            "telephone_number": "330-494-2700",
            "fax_number": "330-494-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 S MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204271",
            "telephone_number": "330-494-2700",
            "fax_number": "330-494-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MARVIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-10",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36001528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR DMERC B",
            "identifier": "4389870001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Grimm, SLP
• Cheryl Grindell
• Tara N Groeschel, COTA/L
• Sarah E Gromek, OTR/L
• Beth V Gross, COTA/L
• Korinna L Grywalski, PTA
• Robin L Guerra, PT
• Gary John Guido, O.D.
• Mark Anthony Guido, P.T.
• Scott Guiler

• Foot Surgery Podiatrist in North Canton, OH
• Providers in North Canton, OH by specialty
• Foot Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.