Individual
JORDAN P GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
224 W EXCHANGE ST, #440, AKRON, OH 44302-1704
(330) 344-1980
(330) 344-6038
Mailing address
224 W EXCHANGE ST, #440, AKRON, OH 44302-1704
(330) 344-1980
(330) 344-6038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003133G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
05
—
2209621
—
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
01
—
P00431103
RAILROAD MEDICARE PTAN
OH
Enumeration date
01/10/2006
Last updated
02/26/2013
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