Active NPI
Matthew G Grossman, CRNA
- Certified Registered Nurse Anesthetist
- Wexford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN537065
- Practice address
- 12351 Perry Hwy
Wexford, PA 15090-8344 - Phone
- (412) 359-6581
- Fax
- (412) 359-3483
- NPI assigned
- Sep 25, 2006
- Last updated
- Oct 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN-246354 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | RN537065 | PA | Primary |
Addresses
Primary practice location
12351 Perry Hwy
Wexford, PA 15090-8344
Mailing address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3155
Other practice location 1
1805 Sinclair Ave
Steubenville, OH 43953-3327
Phone (740) 266-7100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2358738 | Medicaid | OH | |
| 2602912000 | Medicaid | WV | |
| 000000250487 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457
12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581
1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380
320 E N Ave
Pittsburgh, PA 15212-4756
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-246354 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Harrison Community Hospital, Inc. | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Belmont County Health Services Inc | Current | Accepting new patients | |
| Keystone Anesthesia Consultants, LTD | Current | Accepting new patients | |
| East Liverpool Anesthesia Associates LLC | Past | Accepting new patients |
Locations
951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631
1805 Sinclair Ave
Steubenville, OH 43953
Phone (740) 264-2686
1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100
1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342
12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Organizations & group practices 7
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.
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Anesthesiology Physician
- Washington, PA
- NPI 1861450751
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
dba Custer Pharmacy
- Community/Retail Pharmacy
- Cadiz, OH
- NPI 1588142806
-
- Critical Access Hospital
- Cadiz, OH
- NPI 1134151137
-
- Anesthesiology Physician
- East Liverpool, OH
- NPI 1447546668
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AHN Wexford Hospital
- General Acute Care Hospital
- Wexford, PA
- NPI 1588269898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1750482782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-3155",
"fax_number": "412-359-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12351 PERRY HWY",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150908344",
"telephone_number": "412-359-6581",
"fax_number": "412-359-3483"
}
],
"practiceLocations": [
{
"address_1": "1805 Sinclair Ave",
"address_purpose": "LOCATION",
"city": "Steubenville",
"state": "OH",
"postal_code": "439533327",
"country_code": "US",
"telephone_number": "740-266-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSMAN",
"first_name": "MATTHEW",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-246354",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN537065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2358738",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2602912000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000250487",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.