CHERYL RENEE GROSSMAN (NPI# 1700842762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842762 |
| Entity Type | Individual |
| Full Name | CHERYL RENEE GROSSMAN |
| Credential | PAC |
| Practice Address |
515 Fairmount Ave Ste 400 Towson MD 21286-8518 |
| Mailing Address |
515 Fairmount Ave Ste 400 Towson MD 21286-5466 |
| Practice Telephone | 4104941313 |
| Practice Fax Number | 4105842250 |
| Mailing Telephone | 4104941324 |
| Mailing Fax Number | 4104941361 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0001112 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 798621100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942710132 | Cheryl Lee Grossman | Behavior Technician | 302 Southard St Ste 106, Key West, FL 33040-8404 | 2017-10-03 |
| Street Address |
515 FAIRMOUNT AVE STE 400 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-8518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1750532701 | Jessica Reavis Prescott | Physician Assistant | 514 Mcmanus Way, #t514, Towson, MD 21286-8506 | 2008-10-08 |
| 1669414785 | Yongwon Lee | Physician Assistant | 950 York Rd, Towson, MD 21204-2513 | 2006-06-12 |
| 1093350365 | Larissa Cooley | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-11-11 |
| 1962052142 | Patricia Hallman | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2019-09-18 |
| 1093371312 | Pai Participant 1 LLC | Physician Assistant | 7700 York Rd, Towson, MD 21204-7513 | 2019-05-13 |
| 1568937175 | Zakary Myles Everhart | Physician Assistant | 8322 Bellona Ave Ste 100, Towson, MD 21204-2065 | 2018-10-10 |
| 1801380514 | Arielle Blahus | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2018-06-15 |
| 1417465659 | Matthew Correnti | Physician Assistant | 6701 N Charles St, Towson, MD 21204-6808 | 2018-01-22 |
| 1740796325 | Nathalie Rose Dilandro | Physician Assistant | 7601 Osler Dr, Towson, MD 21204-7700 | 2017-12-19 |
| Find all providers in TOWSON | ||||
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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.