Marshall L. Grode, M.D a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G11754 Issued in CA

Legal business name

MARSHALL L. GRODE, M.D A PROFESSIONAL CORPORATION

Practice address

444 S San Vicente Blvd
Suite 800
Los Angeles, CA 90048-4165

Phone

(310) 423-6789

Fax

(310) 423-9253

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Marshall L. Grode, M.D.

Title

President

Phone

(310) 423-6789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1811049257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-6789",
            "fax_number": "310-423-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-6789",
            "fax_number": "310-423-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL L. GRODE, M.D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "GRODE",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-6789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G11754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Marshak, M.D.
• Marshal P Fichman MD a Professional Corp
• Marshall B. Ketchum University/University Eye Center at Los Angeles (Optometric Center of Los Angeles)
• Marshall Dental Group
• Marshall Jay Keyes M D a Medical Corporation
• Andre Orlando Marshall, RPFT
• Brandon Lamont Marshall
• Denise Marshall
• Irene Yamaga Marshall, PHARM.D.
• Jared Marshall, MD

• Neurological Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.