Active NPI
Larry Grossman, MD
- Anesthesiology Physician
- Villanova, PA
National Provider Identifier
1730196445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD035651L
- Practice address
- 1501 Mount Pleasant Rd
Villanova, PA 19085-2112 - Phone
- (610) 527-1400
- Fax
- (610) 527-2755
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD035651L | PA | Primary |
Addresses
Primary practice location
1501 Mount Pleasant Rd
Villanova, PA 19085-2112
Mailing address
PO Box 428
Lehighton, PA 18235-0428
Phone (570) 386-2366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Digestive Disease Associates, LTD
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730196445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182350428",
"telephone_number": "570-386-2366",
"fax_number": "570-386-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MOUNT PLEASANT RD",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190852112",
"telephone_number": "610-527-1400",
"fax_number": "610-527-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "LARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD035651L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villanova, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.