Michael Robert Grossman, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS010419L Issued in PA

Practice address

965 Shamrock LN
Corry, PA 16407-1196

Phone

(814) 664-4641

Fax

(814) 664-8799

NPI assigned

Jun 12, 2006

Last updated

Dec 19, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, TX, NY, PA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Emergency Medicine

Education

University of New England, College of Osteo Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f

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.

• Windber Hospital, Inc.

  dba Chan Soon-Shiong Medical Center at Windber

  • Emergency Medicine Physician
  • Windber, PA
  • NPI 1790999837
  Medicare reassignment Care Compare group NPD
• Corry Memorial Hospital Association

  • Critical Access Hospital
  • Corry, PA
  • NPI 1255788014
  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Family Medicine Physician
  • Meyersdale, PA
  • NPI 1932500154
  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  dba Miners Hospital Emergency Physician Group

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1629471768
  Medicare reassignment NPD
• Nason Physician Practices LLC

  dba Nason OBGYN

  • Obstetrics & Gynecology Physician
  • Roaring Spring, PA
  • NPI 1306236609

  Emergency Medicine

  Medicare reassignment NPD
• DHHS PHS Naihs Crownpoint Hospital

  • General Acute Care Hospital
  • Crownpoint, NM
  • NPI 1114960093

  TX

  Medicare reassignment NPD
• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805
  Medicare reassignment NPD
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Corry Memorial Hospital Association

  dba Corry Memorial Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Corry, PA
  • NPI 1124406376
  NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  dba Conemaugh Meyersdale Medical Center

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  NPD
• DLP Conemaugh Miners Medical Center LLC

  dba Conemaugh Miners Medical Center

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1710929708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 SHAMROCK LN",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071196",
            "telephone_number": "814-664-4641",
            "fax_number": "814-664-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 McDonough Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "GA",
            "postal_code": "302331524",
            "country_code": "US",
            "telephone_number": "770-775-7861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "051467",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS010419L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204624381C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Gluvna, RN
• Gonstead Family Chiropractic of Corry, Inc
• Greater Erie Community Action Committee (GECAC D&A Services)
• Edward E Griffin Jr., M.D.
• Lisa E. Gross, PHARM.D.
• Harbor Lights Counseling LLC
• Hasbrouck Chiropractic LLC
• Allison Marie Hasbrouck, D.C.
• Tina Hawley, CRNP
• HCF of Corry, Inc. (Corry Manor)

• Emergency Medicine Physician in Corry, PA
• Providers in Corry, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.