JENNIFER MAXAM GROSSMAN (NPI# 1679542922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679542922 |
| Entity Type | Individual |
| Full Name | JENNIFER MAXAM GROSSMAN |
| Credential | DO |
| Practice Address |
555 W Wackerly St Midland MI 48640-4710 |
| Practice Telephone | 9896319515 |
| Practice Fax Number | 9898398817 |
| Mailing Telephone | 9896319515 |
| Mailing Fax Number | 9898398817 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | JG013790 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4287010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053940288 | Jennifer Grossman | Legal Medicine | 1408 Myrtle Ave Apt 2, Brooklyn, NY 11237-4513 | 2020-04-08 |
| 1740773977 | Jennifer Grossman | Psychologist | 192 Carlton Rd, Waban, MA 02468-1836 | 2018-06-12 |
| 1285067850 | Jennifer Grossman | Social Worker | 1765 South Ave, Staten Island, NY 10314-3604 | 2013-08-18 |
| 1770641227 | Jennifer L Grossman | Physician Assistant | 2014 Jefferson Rd, Northfield Urgent Care, Northfield, MN 55057-3251 | 2006-12-05 |
| 1720334568 | Jennifer D Grossman | Specialist | 597 3rd Ave, Troy, NY 12182-2509 | 2012-07-31 |
| 1376801316 | Jennifer Grossman | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2012-04-27 |
| 1487935490 | Jennifer R.i. Grossman | Social Worker | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2011-09-02 |
| 1679621858 | Jennifer Lorena Grossman | Counselor | 27 Hollis St, Framingham, MA 01702-8615 | 2007-01-06 |
| 1548289820 | Jennifer Morris Grossman | Internal Medicine | 200 Medical Plaza, #365,530,420,120, Los Angeles, CA 90095 | 2006-07-18 |
| Street Address |
555 W WACKERLY ST |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212368 | Laurence C Lang II | Dentist | 555 W Wackerly St, Ste 3700, Midland, MI 48640-4713 | 2005-06-01 |
| 1639623051 | Danielle Starr | Physical Therapist | 555 W Wackerly St, Ste 2600, Midland, MI 48640-4722 | 2016-08-15 |
| 1679926695 | Julia Nielsen | Physical Therapist | 555 W Wackerly St, Ste 2600, Midland, MI 48640-4722 | 2016-07-14 |
| 1790142743 | Jeanette Folkenroth | Physical Therapist | 555 W Wackerly St, Suite 500, Midland, MI 48640-4722 | 2016-01-21 |
| 1063827152 | Jonathan M Horbal Do Plc | Allergy & Immunology | 555 W Wackerly St, Ste 2675, Midland, MI 48640-4722 | 2014-06-26 |
| 1740602077 | Ben R Mayne IIi | Physician Assistant | 555 W Wackerly St, Suite 2600, Midland, MI 48640-4722 | 2014-01-06 |
| 1528493392 | Blaine Price | Physician Assistant | 555 W Wackerly St, Suite 2600, Midland, MI 48640-4722 | 2013-09-11 |
| 1346688561 | Erika Lynne Dobschensky | Physical Therapist | 555 W Wackerly St, Suite 2600, Midland, MI 48640-4722 | 2013-06-10 |
| 1548506199 | Amy Saupe | Occupational Therapist | 555 W Wackerly St, Suite 2600, Midland, MI 48640-4722 | 2012-12-28 |
| 1992035877 | Rachelle Patricia Ferman | Physical Therapist | 555 W Wackerly St, Suite 2600, Midland, MI 48640-4722 | 2009-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1700315587 | Mia Centauri Marshall | Pediatrics | 4214 Andrews Hwy Fl 6, Midland, TX 79703-4822 | 2017-06-06 |
| 1548556228 | Celecia Byfield | Pediatrics | 2500 Delano Ave Fl 1, Midland, TX 79701-6357 | 2011-06-21 |
| 1841594165 | Sudhi Agrawal | Pediatrics | 4475 Hackberry Ct, Midland, TX 79707-1614 | 2010-12-29 |
| 1174783641 | Barbara Jean Wood | Pediatrics | 3415 Caldera Blvd, Midland, TX 79707-2825 | 2008-06-09 |
| 1346416542 | Wf Ballesteros Md | Pediatrics | 3901 Fairwood Ct, Midland, TX 79707-1428 | 2008-05-07 |
| 1043484934 | Adam John Hamilton | Pediatrics | 4401 Campus Ridge Dr Ste 2000, Midland, MI 48640-6125 | 2008-04-22 |
| 1427239078 | W Ballesteros Ltd LLP | Pediatrics | 5304 Castle Pine Rd, Midland, TX 79707-3204 | 2007-11-23 |
| 1124218847 | Premier Family Care I, Inc. | Pediatrics | 1900 W. Wall, Suite A, Midland, TX 79701-6534 | 2007-07-30 |
| 1093928913 | Chandan Mazumder | Pediatrics | 1900 W Wall St Ste C, Midland, TX 79701-6568 | 2007-05-07 |
| 1194813709 | Tareq Hulali | Pediatrics | 3421 Caldera Blvd, Midland, TX 79707-2825 | 2006-10-10 |
| Find all providers in MIDLAND | ||||
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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.