GARY M GROLEMUND (NPI# 1083629893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083629893 |
| Entity Type | Individual |
| Full Name | GARY M GROLEMUND |
| Credential | DPM |
| Practice Address |
10 Professional Dr Brunswick GA 31520-3774 |
| Practice Telephone | 9122646150 |
| Practice Fax Number | 9122645712 |
| Mailing Telephone | 9122646150 |
| Mailing Fax Number | 9122645712 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000543 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000322033A | 05 | |
| GA | 000322033B | 05 |
| Street Address |
10 PROFESSIONAL DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581744 | Larry B Dyal Jr. | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2005-10-13 |
| 1629447511 | Coastal Foot and Ankle Specialist, LLC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2015-09-21 |
| 1508001710 | Gary M. Grolemund, Dpm PC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2008-12-03 |
| 1811170509 | Gary M. Grolemund Dpm | Durable Medical Equipment & Medical Supplies | 10 Professional Dr, Brunswick, GA 31520-3774 | 2007-12-17 |
| 1043225865 | Golden Isles Foot Surgery Center | Clinic/Center | 10 Professional Dr, Brunswick, GA 31520-3774 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407129737 | Universal Medical Ancillary Services | Podiatrist | 3065 Nationwide Pkwy, Brunswick, OH 44212-2361 | 2012-02-16 |
| 1962561480 | Brunswick Foot & Ankle Center, LLC | Podiatrist | 2 Union Street, Suite 1, Brunswick, ME 04011 | 2006-12-08 |
| 1508001710 | Gary M. Grolemund, Dpm PC | Podiatrist | 10 Professional Dr, Brunswick, GA 31520-3774 | 2008-12-03 |
| 1982850277 | Paul H Eisenberg, Dpm Inc | Podiatrist | 3487 Center Rd, Brunswick, OH 44212-3624 | 2008-08-18 |
| 1285793711 | Michael Mcnally | Podiatrist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-12-08 |
| 1790844223 | Hilary Pelletier | Podiatrist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1700440401 | Pamela Onderko Dpm LLC | Podiatrist | 5223 Riverside Dr Ste 104, Macon, GA 31210-0889 | 2019-04-28 |
| 1073070579 | Foot and Ankle Reconstruction of North Georgia P.c | Podiatrist | 970 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4869 | 2019-02-21 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1649741604 | Neville A Alexander Dpm PC | Podiatrist | 535 Aston Hall Way, Alpharetta, GA 30022-6634 | 2018-12-16 |
| 1902371073 | Atlanta Sports Podiatry | Podiatrist | 9700 Medlock Bridge Rd Ste 126, Johns Creek, GA 30097-4408 | 2018-10-04 |
| 1275012254 | Christopher Anthony Martin | Podiatrist | 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241-3733 | 2018-08-09 |
| 1306323738 | Stride Foot & Ankle Center, LLC | Podiatrist | 4950 Gladstone Pkwy, Suwanee, GA 30024-6945 | 2018-07-28 |
| 1235642026 | Thomas Foot and Ankle Clinic LLC | Podiatrist | 410 Connell Rd Ste E, Valdosta, GA 31602-1898 | 2017-11-15 |
| 1013420413 | Erika Allison | Podiatrist | 3636 Highlands Pkwy Se, Smyrna, GA 30082-5184 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
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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.