Active NPI
Jodi M Grosflam, M.D.
- Rheumatology Physician
- Fort Myers, FL
National Provider Identifier
1790793461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 71368
- Practice address
- 15740 New Hampshire CT
Suite B
Fort Myers, FL 33908-4173 - Phone
- (239) 415-1100
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 71368 | MA | Primary |
Addresses
Primary practice location
15740 New Hampshire CT
Suite B
Fort Myers, FL 33908-4173
Mailing address
13181 Ponderosa Way
Fort Myers, FL 33907-7821
Phone (239) 415-1100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71368 | MA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Associates of Lee County MD PA | Rheumatology | 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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1972565919
Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790793461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13181 PONDEROSA WAY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339077821",
"telephone_number": "239-415-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15740 NEW HAMPSHIRE CT",
"address_2": "SUITE B",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339084173",
"telephone_number": "239-415-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSFLAM",
"first_name": "JODI",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "71368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
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.