Grogan Health Services, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GROGAN HEALTH SERVICES, INC

Practice address

1400 Forest Glen Rd
Suite 225
Silver Spring, MD 20910-1459

Phone

(301) 754-7571

Fax

(301) 754-3171

NPI assigned

Mar 22, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ira Tannebaum, M.DNPI 1336128842

Title

President

Phone

(301) 251-0099

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ira Roy Tannebaum, M.D.

  • Surgery Physician
  • Washington, DC
  • NPI 1336128842
  NPD (past) Authorized official

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1801162961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 WILD OLIVE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD",
            "address_2": "SUITE 225",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101459",
            "telephone_number": "301-754-7571",
            "fax_number": "301-754-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROGAN HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "TANNEBAUM",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-251-0099",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479091000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Grissmer, M. AC.
• Janet M Gritz, MA, CCC-SLP
• Patricia Ann Grodin, RN,MS,CS,P
• Lynn Grodzki, LCSW-C
• Trinda J Groff, MA CCC-SLP
• Groman & Rubin DPM PA
• Daniel Lee Grosberg, DDS
• Hyman J Grosberg, D.D.S.
• Renie Madelon Gross, D.D.S
• David Burton Grossberg, M.D.

• Surgery Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.