DR. PETER DANIEL GROSSMAN (NPI# 1376631663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376631663 |
| Entity Type | Individual |
| Full Name | DR. PETER DANIEL GROSSMAN |
| Credential | M.D |
| Practice Address |
1115 Garredd Blvd Augusta GA 30909-6674 |
| Practice Telephone | 7069220101 |
| Practice Fax Number | 7063640056 |
| Mailing Telephone | 7069220101 |
| Mailing Fax Number | 7063640056 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 032198 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000437841D | 05 | |
| SC | LICENSE | 24779 | 01 |
| SC | SC MEDICAID | G32198 | 01 |
| GA | EHR CERTIFICATION # | 30000001SVGEAC | 01 |
| GA | LICENSE | 032198 | 01 |
| GA | BCBS GA | 52022556 | 01 |
| GA | DEA | AG2569688 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679613921 | Peter Grossman | Dentist | 84 High St Ste 5, Medford, MA 02155-3844 | 2007-02-07 |
| 1255336756 | Peter Hylan Grossman | Plastic Surgery | 7325 Medical Center Dr, Suite 200, West Hills, CA 91307-1925 | 2005-06-20 |
| 1184079436 | Peter Grossman | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Suite 220, Philadelphia, PA 19107-4414 | 2016-04-24 |
| 1730120841 | Peter Grossman | Specialist | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2006-06-09 |
| Street Address |
1115 GARREDD BLVD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487615191 | Nancy Jackson | Nurse Practitioner | 1115 Garredd Blvd, Augusta, GA 30909 | 2006-03-31 |
| 1154811511 | Neighborhood Improvement Project Inc | Obstetrics & Gynecology | 1115 Garredd Blvd, Augusta, GA 30909-6674 | 2018-05-11 |
| 1922596386 | Neighborhood Improvement Project Inc | Obstetrics & Gynecology | 1115 Garredd Blvd, Augusta, GA 30909-6674 | 2018-05-01 |
| 1043614712 | Lawrence A Robillard Md PC | Obstetrics & Gynecology | 1115 Garredd Blvd, Augusta, GA 30909-6674 | 2014-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794001 | Stephanie Stokes | Obstetrics & Gynecology | 1120 15th St Ste Ba-7300, Augusta, GA 30912-0004 | 2020-06-11 |
| 1346865839 | Teodora Stoikov | Obstetrics & Gynecology | 1120 15th St # Ba-7411, Augusta, GA 30912-0004 | 2020-06-10 |
| 1528627650 | Suellen Anizia Romero De Mello Sa | Obstetrics & Gynecology | 1120 15th St # Ba-7310, Augusta, GA 30912-0004 | 2019-06-12 |
| 1457910069 | Taylor Mitchell Jones | Obstetrics & Gynecology | 1120 15th St # Ba-7300, Augusta, GA 30912-3300 | 2019-06-07 |
| 1871156687 | Alexandra Poch | Obstetrics & Gynecology | 1120 15th St # Ba7300, Augusta, GA 30912-0004 | 2019-04-17 |
| 1568826493 | Susan Angeline Davis | Obstetrics & Gynecology | 2813 Hillcrest Ave, Augusta, GA 30909-3815 | 2016-04-06 |
| 1831553924 | Connor Jordan Biskamp | Obstetrics & Gynecology | Augusta University 1120 15th Street, Augusta, GA 30912-3901 | 2016-04-05 |
| 1922319094 | Obstetrics and Gynecology Services of Augusta PC | Obstetrics & Gynecology | 1500 Johns Road, Suite 3, Augusta, GA 30904-4808 | 2010-06-23 |
| 1962630830 | Linda Marie Street | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909-6580 | 2009-06-30 |
| 1689811036 | Peter Payne | Obstetrics & Gynecology | 2812 Walton Way, Augusta, GA 30909-3826 | 2009-01-07 |
| Find all providers in AUGUSTA | ||||
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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.