Jonathan D Grossman (NPI# 1225242332, PAC ID# 4880780717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1225242332 |
| PAC ID by PECOS | 4880780717 |
| Professional Enrollment ID | I20081126000188 |
| Full Name | Jonathan D Grossman |
| Organization Legal Name | SAINT AGNES MEDICAL FOUNDATION |
| Address |
4770 W Herndon Ave Suite 107 Fresno CA 93722-8401 |
| Phone Number | 5594506310 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7618946369 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 | 5594506310 | SAINT AGNES MEDICAL FOUNDATION |
| Organization Legal Name | SAINT AGNES MEDICAL FOUNDATION |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier C Garcia | Physician Assistant | Saint Agnes Medical Foundation | 1245 E Herndon Ave, Fresno, CA 93720-3235 |
| Godfred K Yankey | Undefined Physician Type (specify) | Saint Agnes Medical Foundation | 1377 E Herndon Ave, Suite 104, Fresno, CA 93720-3022 |
| Nadia S Javaid | Family Medicine | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Andrea N Lorenze | Hospitalist | Saint Agnes Medical Foundation | 1379 E Herndon Ave, Fresno, CA 93720-3309 |
| Jaspreet Kaur | Family Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 |
| Jeannie Buhler | Nurse Practitioner | Saint Agnes Medical Foundation | 1105 E Spruce Ave, Suite 203, Fresno, CA 93720-3313 |
| Robert P Maly | Obstetrics/gynecology | Saint Agnes Medical Foundation | 7138 N Millbrook Ave, Suite 105, Fresno, CA 93720-3366 |
| Markos H Zemede | Internal Medicine | Saint Agnes Medical Foundation | 1221 E Spruce Ave, Fresno, CA 93720-3374 |
| Phillip J Kim | Family Medicine | Saint Agnes Medical Foundation | 2497 Herndon Ave, Suite 102, Clovis, CA 93611-8977 |
| Ranjeet Singh | Internal Medicine | Saint Agnes Medical Foundation | 1313 E Herndon Ave, Suite 101, Fresno, CA 93720-3306 |
| Street Address |
4770 W HERNDON AVE SUITE 107 |
| City | FRESNO |
| State | CA |
| Zip | 93722-8401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaspreet Kaur | Family Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 |
| Conrad J Rios | Nurse Practitioner | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 111, Fresno, CA 93722-8401 |
| Michael N Moya | Family Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 105, Fresno, CA 93722-8401 |
| Desmond Paul-coker | Internal Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 |
| Stephen Paul Soldo | Emergency Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 111, Fresno, CA 93722-8401 |
| Robert W Tevendale | Hospitalist | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 105, Fresno, CA 93722-8401 |
| Kumari S Iyer | Internal Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 |
| Gregory V Williams | Family Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 111, Fresno, CA 93722-8401 |
| William Geissert | Internal Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 111, Fresno, CA 93722-8401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ron C Steele | Clinical Social Worker | 7005 N Milburn Ave, Fresno, CA 93722-2161 | |
| Camilla Louise Marquez | Obstetrics/gynecology | Valley Women's Healthcare Medical Group, Inc | 7005 N Milburn Ave, 101 Camilla Marquez Md, Fresno, CA 93722-2161 |
| John A Roper | Hospitalist | 7005 N Milburn Ave, Suite 201, Fresno, CA 93722-2161 | |
| Victor S Flauta | General Practice | 5631 N Figarden Dr, Suite 107, Fresno, CA 93722-3577 | |
| Gerald Hoover | Family Practice | Clinica Sierra Vista | 4739 W Shaw Ave, Suite 108, Fresno, CA 93722-6265 |
| Kalwant S Dhillon | General Surgery | 4425 W Ashlan Ave, Suite 106, Fresno, CA 93722-7017 | |
| Jagpreet S Mukker | Podiatry | Jay Mukker Dpm Inc | 7210 N Milburn Ave, Suite 101, Fresno, CA 93722-8449 |
| Larry D Scortt | Podiatry | Jay Mukker Dpm Inc | 7210 N Milburn Ave, Suite 101, Fresno, CA 93722-8449 |
| Rolando Witrado | Physical Therapy | Rebound Physical Therapy Inc | 7206 N Milburn Ave, Suite 102, Fresno, CA 93722-8450 |
| Sanjay S Srivatsa | Cardiovascular Disease (cardiology) | 7206 N Milburn Ave, Suite 105, Fresno, CA 93722-8450 | |
| Find all physicians in zip 93722 | |||
| City | FRESNO |
| Zip Code | 93722 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | FRESNO + PHYSICAL MEDICINE AND REHABILITATION |
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| 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.