DR. EDWARD T. GROSSMAN (NPI# 1629060827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060827 |
| Entity Type | Individual |
| Full Name | DR. EDWARD T. GROSSMAN |
| Credential | MD |
| Practice Address |
425 Post Rd Fairfield CT 06824-6232 |
| Practice Telephone | 2032929000 |
| Practice Fax Number | 2032921700 |
| Mailing Telephone | 2032929000 |
| Mailing Fax Number | 2032921700 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 014443 | CT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043364052 | Edward R Grossman | Dentist | 704 Gordon Dr, Exton, PA 19341-1253 | 2007-01-23 |
| 1366540114 | Edward Nathan Grossman | Optometrist | 4013 W Oriole Ct, Visalia, CA 93291-8078 | 2006-09-20 |
| Street Address |
425 POST RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1730669920 | Angelina Angeli | Nurse Practitioner | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-08-16 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1023528270 | Skylar Krystina Robinson | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-10-02 |
| 1083151898 | Brian Clancy | Physician Assistant | 425 Post Rd, Fairfield, CT 06824-6232 | 2017-01-31 |
| 1962885368 | Deepthi Naik | Family Medicine | 425 Post Rd, Fairfield, CT 06824 | 2015-07-02 |
| 1225370901 | Eric Louis Alter | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2013-03-20 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1144482308 | Nicholas Lillo | Internal Medicine | 425 Post Rd, Fairfield, CT 06824-6232 | 2008-06-30 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477180511 | Ciara Hanna | Specialist | 3247 Congressional Cir, Fairfield, CA 94534-7869 | 2020-03-26 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1932594777 | Donna Alves | Specialist | 27 Green Knolls Ln, Fairfield, CT 06824-3509 | 2015-03-30 |
| 1619399847 | Nora Macias | Specialist | 617 Stonehenge Ct, Fairfield, CA 94534-4088 | 2014-01-07 |
| 1043582679 | Diane Michelle Dolch | Specialist | 1095 Magie Ave, Fairfield, OH 45014-1852 | 2012-01-27 |
| 1710262209 | Nicole Dunay Calloway | Specialist | 510 Reef Rd, Fairfield, CT 06824 | 2011-10-15 |
| 1073840096 | Christine Fisher | Specialist | 1891 Woolner Ave, Suite G, Fairfield, CA 94533-5868 | 2009-11-11 |
| 1407008634 | Tristan Bowley Dalisay | Specialist | 3175 Olympic Rd, Fairfield, CA 94534-8327 | 2008-10-21 |
| 1801085188 | Miami Valley Surgical Associates Inc. | Specialist | 1251 Nilles Rd Ste 17, Fairfield, OH 45014-7205 | 2007-10-23 |
| 1992901912 | Gilda C Richardson | Specialist | 740 Nilles Rd, Fairfield, OH 45014-3606 | 2007-06-26 |
| Find all providers in FAIRFIELD | ||||
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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.