DR. RICHARD GROSSBERG (NPI# 1619030939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619030939 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GROSSBERG |
| Credential | MD |
| Practice Address |
29425 Chagrin Blvd Suite 210 Beachwood OH 44122-4639 |
| Practice Telephone | 3302353512 |
| Mailing Telephone | 4409147840 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35-07-6687-G | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2143273 | 05 |
| Street Address |
29425 CHAGRIN BLVD SUITE 210 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720443419 | Richard R Hill Md Phd Inc | Psychiatry & Neurology | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4639 | 2015-12-22 |
| 1831378421 | Sherelynn Lehman | Counselor | 29425 Chagrin Blvd, Suite 303, Beachwood, OH 44122-4639 | 2007-10-30 |
| 1093926040 | Benjamin A. Spinner | Psychiatry & Neurology | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4639 | 2007-05-24 |
| 1568590305 | Barbara Schaffer Bleiweiss | Counselor | 29425 Chagrin Blvd, 301, Beachwood, OH 44122-4639 | 2007-03-02 |
| 1073613436 | Stephen B. Zinn | Psychiatry & Neurology | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4639 | 2006-09-25 |
| 1093749624 | Michael Gerard Wisniewski | Psychologist | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4639 | 2006-07-10 |
| 1184651903 | Jerry M Zober | Psychiatry & Neurology | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4639 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
| 1871890764 | Saroj Ajitkumar Pagedar | Pediatrics | 2317 Brigadoon Ct, Westlake, OH 44145-3024 | 2011-02-11 |
| 1801001078 | Ernesto Cabales Bunye | Pediatrics | 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 | 2007-05-11 |
| 1295812261 | Hanan Nashed | Pediatrics | 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 | 2006-11-01 |
| 1679659890 | Julie Smith Fennig | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2006-10-31 |
| 1891881504 | Walter R Lucas | Pediatrics | 17075 Pearl Road, Strongsville, OH 44136 | 2006-10-04 |
| 1548354665 | Mary Brigid Chitwood | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1366544926 | Enaas F Kasheer | Pediatrics | 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 | 2006-09-03 |
| 1851306310 | Trihealth Q, LLC | Pediatrics | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2006-07-30 |
| 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.