DR. SANDRA GROSSMAN (NPI# 1205151115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205151115 |
| Entity Type | Individual |
| Full Name | DR. SANDRA GROSSMAN |
| Credential | M.D |
| Practice Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 6105263000 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
25MA08786900 | NJ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME102782 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | SATE LICENSE | 25MA08786900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740764448 | Sandra Grossman | Counselor | 7800 E Orchard Rd Ste 150, Greenwood Village, CO 80111-2567 | 2018-09-18 |
| Street Address |
130 S BRYN MAWR AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589459 | William H Pfeffer | Obstetrics & Gynecology | 130 S Bryn Mawr Ave, Suite 1000 D Wing, Bryn Mawr, PA 19010-3121 | 2005-06-27 |
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1013532282 | Daniel Kim | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1083239206 | Zachariah Taylor | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1124666953 | Julianne Keller Kwiatkowski | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-12-11 |
| 1457993974 | Lee A Petroski | Physical Therapist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-16 |
| 1013559871 | Amber Brooke Lallo | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-14 |
| 1023661352 | Stephanie Nicole Libes | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-07-16 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288745 | Marleny Franco | Emergency Medicine | 34th St and Civic Center Blvd, Ctrb 9121, Children's Hosp of Philadelphia, Div of Emerg Medicine, Philadelphia, PA 19104 | 2009-07-21 |
| 1457523045 | Margaret M Love | Emergency Medicine | Front & Erie Sts, Schc Emergency Dept, Philadelphia, PA 19134 | 2008-03-24 |
| 1790701126 | Abigail Pudpud | Emergency Medicine | 1401 S 31st St Fl 2, Philadelphia, PA 19146-3506 | 2006-07-15 |
| 1447241898 | Pegeen W Eslami | Emergency Medicine | Aob Suite 2400, Division of Emergency Medicine, 4401 Penn Ave, Pittsburgh, PA 15224 | 2005-11-03 |
| 1275173965 | Alexi Angelena Zika | Emergency Medicine | 4401 Penn Ave, Pittsburgh, PA 15224-1334 | 2020-01-09 |
| 1174167738 | Meredith Marie Tarbell | Emergency Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2019-11-06 |
| 1386024164 | Cesar Ituriel Menchaca | Emergency Medicine | 4401 Penn Avenue, Suite 02000, Faculty Pavilion, Pittsburgh, PA 15224 | 2015-06-05 |
| 1336554641 | Maher Mohammad K. Abulfaraj | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-06-25 |
| 1508284365 | Elizabeth Sanseau | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-30 |
| 1164840989 | Andrea Anderson | Emergency Medicine | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-03-29 |
| 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.