NPIMap

Organization Active NPI

Dennis Grossman M.N., Inc.

  • Internal Medicine Physician
  • Bedford, OH
National Provider Identifier
1962404608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DENNIS GROSSMAN M.N., INC.
Practice address
88 Center Rd
Suite 280
Bedford, OH 44146-2700
Phone
(440) 232-5215
Fax
(440) 786-8554
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Grossman, MDNPI 1972505659
Title
President
Phone
(440) 232-5215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OH Primary

Addresses

Primary practice location

88 Center Rd
Suite 280
Bedford, OH 44146-2700

Mailing address

88 Center Rd
Suite 280
Bedford, OH 44146-2700
Phone (440) 232-5215

National Provider Directory

National Provider Directory

Locations

10828 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 405-0638

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962404608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "SUITE 280",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462700",
            "telephone_number": "440-232-5215",
            "fax_number": "440-786-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CENTER RD",
            "address_2": "SUITE 280",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462700",
            "telephone_number": "440-232-5215",
            "fax_number": "440-786-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS GROSSMAN M.N., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-232-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • 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.