FRED GROSSMAN, MD (NPI# 1043483589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043483589 |
| Entity Type | Organization |
| Organization Name | FRED GROSSMAN, MD |
| Practice Address |
4200 W Conejos Pl Suite 536 Denver CO 80204-1333 |
| Practice Telephone | 3035711355 |
| Practice Fax Number | 3035711520 |
| Mailing Telephone | 3035711355 |
| Mailing Fax Number | 3035711520 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | FRED GROSSMAN (OWNER) |
| Authorized Official Telephone | 3035711355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 16458 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01164581 | 05 |
| Street Address |
4200 W CONEJOS PL SUITE 536 |
| City | DENVER |
| State | CO |
| Zip Code | 80204-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706475 | Stuart S Kassan | Internal Medicine | 4200 W Conejos Pl, #314, Denver, CO 80204-1333 | 2005-11-03 |
| 1891025748 | Jennifer Ann Scholl | Registered Nurse | 4200 W Conejos Pl, Suite 516, Denver, CO 80204-1333 | 2009-12-28 |
| 1063654200 | Peter P Emily | Dentist | 4200 W Conejos Pl, Suite 324, Denver, CO 80204-1333 | 2009-04-02 |
| 1558508143 | Allison M Wilder | Registered Nurse | 4200 W Conejos Pl, #516, Denver, CO 80204-1333 | 2009-01-19 |
| 1568617470 | Amy Wigand | Registered Nurse | 4200 W Conejos Pl, Ste 516, Denver, CO 80112 | 2008-11-19 |
| 1598919896 | Meredith Cooley | Registered Nurse | 4200 W Conejos Pl, #516, Denver, CO 80204-1333 | 2008-11-13 |
| 1568611168 | Lindsay Jane Goss | Registered Nurse | 4200 W Conejos Pl, Suite 516, Denver, CO 80204-1333 | 2008-09-18 |
| 1699924217 | Jessica Lindsay Moore | Registered Nurse | 4200 W Conejos Pl, Suite 516, Denver, CO 80204-1333 | 2008-09-18 |
| 1194986729 | Philip R. Yarnell, M.d., P.C. | Specialist | 4200 W Conejos Pl, Suite 107, Denver, CO 80204-1333 | 2008-06-17 |
| 1528191053 | Henry Beckwitt | Internal Medicine | 4200 W Conejos Pl, #404, Denver, CO 80204-1333 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1386192797 | Nicole Teitch | Specialist | 6000 E Evans Ave Ste 400, Denver, CO 80222-5406 | 2016-09-14 |
| 1245686377 | Mile High Iom, LLC | Specialist | 652 N High St, Denver, CO 80218-3638 | 2016-05-07 |
| 1770944100 | Tina Waters | Specialist | 401 S Jersey St, Denver, CO 80224-1215 | 2016-03-12 |
| 1114392081 | Kalaya Lane | Specialist | 8370 E Northfield Blvd, Unit 1775, Denver, CO 80238-3132 | 2015-12-03 |
| 1487024220 | Keith Burkhardt | Specialist | 2727 E 2nd Ave, # 250, Denver, CO 80206-4886 | 2015-10-06 |
| 1992174395 | Maile Elizabeth Grace | Specialist | 4511 Quieto Ct, Denver, CO 80211-1560 | 2015-09-16 |
| 1639550866 | Peter Murr | Specialist | 1213 Olive St, Denver, CO 80220-2938 | 2015-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.