Richard Ivan Grossberg (NPI# 1619030939, PAC ID# 0244245637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1619030939 |
| PAC ID by PECOS | 0244245637 |
| Professional Enrollment ID | I20060206000934 |
| Full Name | Richard Ivan Grossberg |
| Address |
29425 Chagrin Blvd Suite 210 Beachwood OH 44122-4602 |
| Phone Number | 2162881327 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 363302 | RAINBOW BABIES AND CHILDRENS HOSPITAL |
| 360078 | UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 29425 Chagrin Blvd, Suite 210, Beachwood, OH 44122-4602 | 2162881327 | |
| 11100 Euclid Ave, Cleveland, OH 44106-1716 | UNIVERSITY HOSPITALS MEDICAL GROUP INC |
| Street Address |
29425 CHAGRIN BLVD SUITE 210 |
| City | BEACHWOOD |
| State | OH |
| Zip | 44122-4602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Wisniewski | Psychologist, Clinical | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4637 | |
| Richard R Hill | Psychiatry | 29425 Chagrin Blvd, Suite 301, Beachwood, OH 44122-4637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | BEACHWOOD |
| Zip Code | 44122 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | BEACHWOOD + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Richard Ivan Grossberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.