AARON JACOB GROSSBERG (NPI# 1730567280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567280 |
| Entity Type | Individual |
| Full Name | AARON JACOB GROSSBERG |
| Credential | PA-C |
| Practice Address |
1460 G St Springfield OR 97477-4112 |
| Practice Telephone | 5417264400 |
| Mailing Telephone | 5417264400 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA171679 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164775334 | Aaron Grossberg | Internal Medicine | 3181 Sw Sam Jackson Park Rd # L337, Portland, OR 97239 | 2012-10-24 |
| Street Address |
1460 G ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846399 | Kyong Min Yi | Surgery | 1460 G St, Springfield, OR 97477-4112 | 2005-07-30 |
| 1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
| 1942812219 | Christian Elizabeth Ross | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-08-18 |
| 1275150260 | Tara Kruse | Physician Assistant | 1460 G St, Springfield, OR 97477-4112 | 2020-06-25 |
| 1265079701 | Madeleine Rose Bell | Physician Assistant | 1460 G St, Springfield, OR 97477-4112 | 2019-12-03 |
| 1568017028 | Karen M Booth | Dietitian, Registered | 1460 G St, Springfield, OR 97477-4112 | 2019-08-01 |
| 1740764943 | Kristen Kellogg | Physician Assistant | 1460 G St, Springfield, OR 97477-4112 | 2018-09-24 |
| 1992289698 | Michael Moore | Physician Assistant | 1460 G St, Springfield, OR 97477-4112 | 2018-09-18 |
| 1881175206 | Marisa Drazek | Physician Assistant | 1460 G St, Springfield, OR 97477-4112 | 2018-08-23 |
| 1427546712 | Kathleen M Gates | Dietitian, Registered | 1460 G St, Springfield, OR 97477-4112 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
| 1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
| 1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
| 1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
| 1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
| 1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
| 1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on AARON JACOB GROSSBERG.
| 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.