Active NPI
Marcia R Grossman, PA-C
- Surgical Physician Assistant
- Fairlawn, OH
National Provider Identifier
1982790366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50002507
- Practice address
- 762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024 - Phone
- (330) 665-4100
- Fax
- (330) 665-4190
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50002507 | OH | Primary |
Addresses
Primary practice location
762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Mailing address
762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone (330) 665-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.13 of 100
- Quality
- 74.6
- Promoting interoperability
- 70
- Improvement activities
- 40
- Cost
- 84.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthounited, Inc. | Surgical | Current | Accepting new patients |
Locations
7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1982790366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "762 S CLEVELAND MASSILLON RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333024",
"telephone_number": "330-665-4100",
"fax_number": "330-665-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "762 S CLEVELAND MASSILLON RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333024",
"telephone_number": "330-665-4100",
"fax_number": "330-665-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "MARCIA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50002507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.