John M. Grollmus, M.D., Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C27979 Issued in CA

Legal business name

JOHN M. GROLLMUS, M.D., INC.

Practice address

990 Sonoma Ave
Ste. 20 &21
Santa Rosa, CA 95404-4802

Phone

(707) 525-0696

Fax

(707) 525-8404

NPI assigned

Jun 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John M. Grollmus, M.D.

Title

Owner/ Lead Physician

Phone

(707) 525-0696

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tonnie Moore, PA

  • Physician Assistant
  • Sebastopol, CA
  • NPI 1619997269
  NPD (past)
• Elizabeth L. Redick, P.A.

  • Medical Physician Assistant
  • Pleasant Hill, CA
  • NPI 1255377008
  NPD (past)
• Carlie Jeanette Wilkerson, P.A.

  • Surgical Physician Assistant
  • Santa Rosa, CA
  • NPI 1376748095
  NPD (past)
• Samir B Lapsiwala, MD

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1891735684
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851337380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "STE. 20 &21",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-525-0696",
            "fax_number": "707-525-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "STE. 20 &21",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-525-0696",
            "fax_number": "707-525-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. GROLLMUS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROLLMUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/ LEAD PHYSICIAN",
        "authorized_official_telephone_number": "707-525-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C27979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LINC FOR DR. LAPSIWALA",
            "identifier": "A93807",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LINC FOR ELIZ REDICK",
            "identifier": "PA10702",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Hollander DPM Inc
• John D Hollander DPM Inc
• John Horton DC LLC
• John I. Rich, DDS, Inc.
• John M. Gray, M.D., Inc.
• John Phillip Hurwitz MD a Professional Corporation
• Robert Matthew Johns, MA, NCSP, BCBA
• Catherine Johnsen, DO
• Hailey Johnson Bastianon
• Betsy Johnson

• Neurological Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, 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 Aug 22, 2020; 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.