Organization Active NPI

Robert N Grosboll MD

  • Family Medicine Physician
  • Loveland, CO
National Provider Identifier
1912169830
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15838 Issued in CO
Legal business name
ROBERT N GROSBOLL MD
Practice address
2802 Madison Square Dr
120
Loveland, CO 80538-3387
Phone
(970) 776-1950
Fax
(970) 776-1954
NPI assigned
Jul 1, 2008
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Robert Grosboll, M.D.
Title
Physician
Phone
(970) 776-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 15838 CO Primary

Addresses

Primary practice location

2802 Madison Square Dr
120
Loveland, CO 80538-3387

Mailing address

2802 Madison Square Dr
120
Loveland, CO 80538-3387
Phone (970) 776-1950

Other identifiers 2

IdentifierTypeStateIssuer
01158385MedicaidCO
35758716MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1912169830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 MADISON SQUARE DR",
            "address_2": "120",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383387",
            "telephone_number": "970-776-1950",
            "fax_number": "970-776-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 MADISON SQUARE DR",
            "address_2": "120",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383387",
            "telephone_number": "970-776-1950",
            "fax_number": "970-776-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N GROSBOLL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "GROSBOLL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-776-1950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "15838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01158385",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35758716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.