Active NPI
Howard Alan Grossbard, M D
- Gastroenterology Physician
- Venice, FL
National Provider Identifier
1992815773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 31798
- Practice address
- 1041 Ridgewood Ave
Venice, FL 34285-6978 - Phone
- (941) 484-6353
- Fax
- (941) 484-6608
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 31798 | FL | Primary |
Addresses
Primary practice location
1041 Ridgewood Ave
Venice, FL 34285-6978
Mailing address
825 Venetian Pkwy
Suite B
Venice, FL 34285-7163
Phone (941) 484-3089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372381000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31798 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert H Felman MD PA | Past | Accepting new patients | |
| Gulf Coast Digestive Health Center PL | Gastroenterology | Past | Accepting new patients |
| Rockledge Hma Medical Group, LLC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Venice, FL
- NPI 1508170580
-
- Internal Medicine Physician
- Merritt Island, FL
- NPI 1386959484
Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1992815773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 VENETIAN PKWY",
"address_2": "SUITE B",
"city": "VENICE",
"state": "FL",
"postal_code": "342857163",
"telephone_number": "941-484-3089",
"fax_number": "941-484-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 RIDGEWOOD AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342856978",
"telephone_number": "941-484-6353",
"fax_number": "941-484-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSBARD",
"first_name": "HOWARD",
"middle_name": "ALAN",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "31798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372381000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.