MICHAEL R. GROSSMAN, DPM


Address: 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418
Phone: 6106456314

MICHAEL R. GROSSMAN, DPM (NPI# 1841354081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841354081
Entity Type Organization
Organization Name MICHAEL R. GROSSMAN, DPM
Other Organization Name MAIN LINE FOOT & ANKLE CENTER
Practice Address 121 Coulter Ave
Suite 109
Ardmore
PA 19003-2418
Practice Telephone 6106456314
Practice Fax Number 6106459923
Mailing Telephone 6106456314
Mailing Fax Number 6106459923
Enumeration Date 2006-12-21
Last Update Date 2020-08-22
Authorized Official Name MICHAEL R. GROSSMAN (AUTHORIZED OFFICIAL)
Authorized Official Telephone 6106456314
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist PA Podiatric Medicine & Surgery Service Providers

Other Provider/Organization Names

Other Name Type Code
Main Line Foot & Ankle Center Other Name - Individual/Organization

Office Location

Street Address 121 COULTER AVE
SUITE 109
City ARDMORE
State PA
Zip Code 19003-2418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225011786 Michael R. Grossman Podiatrist 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 2005-11-29
1437594272 Alexandra B. Mclean, M.d., PC Exclusive Provider Organization 121 Coulter Ave, 207, Ardmore, PA 19003-2418 2013-05-07
1740596899 Anthony Charles Cook Podiatrist 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 2010-08-27
1194942045 Joseph Digiacomo Psychiatry & Neurology 121 Coulter Ave, Suite 108, Ardmore, PA 19003-2418 2007-04-20
1225197452 Luciano Lizzi Psychiatry & Neurology 121 Coulter Ave, Suite 106, Ardmore, PA 19003-2418 2006-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396231973 Ann's Professional Home Care, LLC. Home Health 119 Coulter Ave Ste 210, Ardmore, PA 19003 2018-07-06
1154864247 Renee Suzanne Downey Counselor 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 2016-11-22
1972908739 Teleradiology Solutions PC Clinic/Center 22 Lianfair Road, Unit 6, Ardmore, PA 19003 2014-10-23
1194120832 Lindsay Coffman Nurse Practitioner 610 West Lancaster Avenue, Ardmore, PA 19003 2014-10-23
1306247143 Samantha Hunsicker Social Worker 9 Cricket Terrace Ctr, Ardmore, PA 19003 2014-09-11
1730514050 Ultimate Hearing Solutions Audiologist-Hearing Aid Fitter 14 Greenfield Avenue, Ardmore, PA 19003 2013-09-05
1861831455 See Inc Optometrist 39 Coulter, Ardmore, PA 19003 2013-06-18
1265740518 Nicole Quigley Finnegan Occupational Therapist 120 Saint Pauls Rd, Ardmore, PA 19003 2010-09-21
1588989719 Paul Maury Prusky Family Medicine 25 East Athens Ave, Ardmore, PA 19003 2010-03-31
1790017333 Dongxiao Liu Acupuncturist 2 W. Lancaster Ave, Ardmore, PA 19003 2010-02-08
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174611875 Lloyd B Landis Podiatrist 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 2006-10-10
1427066919 Eric Ricefield Podiatrist 39 Rittenhouse Pl, Ardmore, PA 19003-2209 2006-08-03
1265440762 Your Next Step PC Podiatrist 39 Rittenhouse Place, Ardmore, PA 19003 2006-08-03
1932143757 Leonard H Goldsmith Podiatrist 119 Mill Creek Rd, # H1n, Ardmore, PA 19003-1535 2006-06-15
1003889494 Douglas F. Klepfer Podiatrist 694 Pont Reading Rd, First Floor, Ardmore, PA 19003-1917 2006-02-08
1225011786 Michael R. Grossman Podiatrist 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 2005-11-29
1417943978 Richard B Cohen Podiatrist 119 Coulter Ave, Ardmore, PA 19003-2427 2005-09-21
1265963284 Leonard H Goldsmith Dpm Podiatrist 119 Mill Creek Rd, H1n, Ardmore, PA 19003-1535 2017-03-22
1174611578 James Q Mcclelland Podiatrist 2002 12th Avenue Nw, Suite F, Ardmore, OK 73401 2006-10-11
1831107325 Mark Christopher Yagodich Podiatrist 39 Rittenhouse Pl, Ardmore, PA 19003-2209 2006-08-03
Find all providers in ARDMORE

Competitor

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City ARDMORE
Zip Code 19003

Improve Information

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Dataset Information

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.

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