BRIAN GROSSMAN (NPI# 1366949596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366949596 |
Entity Type | Individual |
Full Name | BRIAN GROSSMAN |
Practice Address |
14575 Southfield Rd Allen Park MI 48101-2640 |
Mailing Address |
460 E Cambourne St Ferndale MI 48220-1306 |
Practice Telephone | 3133818787 |
Mailing Telephone | 2486729442 |
Enumeration Date | 2018-04-13 |
Last Update Date | 2018-04-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704306156 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477914489 | Brian Grossman | Social Worker | 14 Ambassador Dr, Victor, NY 14564-1204 | 2016-03-18 |
1518996859 | Brian S Grossman | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2006-06-30 |
Street Address |
14575 SOUTHFIELD RD |
City | ALLEN PARK |
State | MI |
Zip Code | 48101-2640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295766137 | Lascelles Pinnock | Otolaryngology | 14575 Southfield Rd, Allen Park, MI 48101 | 2006-07-06 |
1073974853 | Valerie Ann Charette | Hearing Instrument Specialist | 14575 Southfield Rd, Allen Park, MI 48101-2640 | 2016-03-08 |
1891017075 | Downriver Ent, P.C. | Audiologist-Hearing Aid Fitter | 14575 Southfield Rd, Allen Park, MI 48101-2640 | 2010-02-16 |
1134304595 | Downriver Ent PC | Otolaryngology | 14575 Southfield Rd, Allen Park, MI 48101-2640 | 2008-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
Find all providers in zip 48101 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
Find all providers with the same taxonomy |
City | ALLEN PARK |
Zip Code | 48101 |
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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.