Mark David Groban, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D04409 Issued in MD

Practice address

6705 Arroyo CT
Rockville, MD 20852-3603

Phone

(301) 530-6705

Fax

(301) 530-2162

NPI assigned

Jun 25, 2007

Last updated

Jul 8, 2007By 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 names 1

• Mark David Groban Professional name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851597132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 ARROYO CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523603",
            "telephone_number": "301-530-6705",
            "fax_number": "301-530-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 ARROYO CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523603",
            "telephone_number": "301-530-6705",
            "fax_number": "301-530-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBAN",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D04409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "GROBAN",
            "middle_name": "DAVID",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Angela Grillo, O.D.
• A'Meeyah Grimes
• Lorene Grimes
• Stephen Grimes
• Meagan Grinnage-Wright
• Gail Groboski
• Glenda Grogan, OTR/L
• Sophia Groo
• Amy Steinberg Gross, MSPT
• Arnasia Gross

• Psychiatry Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatry Physician in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.