Jeffrey W Grosskopf, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036066604 Issued in IL

Practice address

3805 E. Main Street
Suite G
St Charles, IL 60174

Phone

(630) 402-2128

Fax

(630) 397-7814

NPI assigned

Jan 17, 2006

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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.

• Grosskopf Orthopedic SC

  • Orthopaedic Surgery Physician
  • St Charles, IL
  • NPI 1255622163
  Authorized official Same address or phone

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1770563702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E. MAIN STREET",
            "address_2": "SUITE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-402-2128",
            "fax_number": "630-397-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E. MAIN STREET",
            "address_2": "SUITE G",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "60174",
            "telephone_number": "630-402-2128",
            "fax_number": "630-397-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSKOPF",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036066604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL GROUP",
            "identifier": "CF2064",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200007877",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Gregory, DC
• Kerry Ann Gremo
• Theresa Grimaldo
• Marissa Nora Groom, MS
• Grosskopf Orthopedic SC
• Margaret Mary Grossmayer, APRN, FNP-C
• Kailey Grove, SLP
• Growing Awareness Counseling
• Growing Through Life Therapy LLC
• Growing Wellness LLC (Growing Wellness)

• Orthopaedic Surgery Physician in St Charles, IL
• Providers in St Charles, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.