MEDICARE: JERROLD GRODIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	G1023	TX

General Provider Information

NPI Number	:	1730153966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERROLD GRODIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 660080
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75266-0080
Country	:	US
Telephone Number	:	214-237-6636
Fax Number	:

Provider Business Practice Location Address
First Line	:	621 N HALL ST
Second Line	:	SUITE 400
City	:	DALLAS
State	:	TX
Zip	:	75226-1339
Country	:	US
Telephone Number	:	214-826-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	01/05/2016

Similar Medicare Providers

1194718429 — TEXAS VASCULAR ASSOCIATES
Practice Location Address:

621 N. HALL ST. , SUITE 100
DALLAS, TX
75226-1339

Practice Phone: 214-821-9600
Practice Fax: 214-823-5449

1609855139 — TEXAS HEART HOSPITAL OF THE SOUTHWEST LLC
Practice Location Address:

621 N HALL ST
DALLAS, TX
75226-1339

Practice Phone: 214-820-0670
Practice Fax: 214-820-0690

1275507865 — CARDIOLOGY CONSULTANTS OF TEXAS
Practice Location Address:

621 N HALL ST , SUITE 400
DALLAS, TX
75226-1339

Practice Phone: 214-824-5600
Practice Fax:

1013981240 — JOHN HYLAND M.D.
Practice Location Address:

621 N HALL ST , SUITE 400
DALLAS, TX
75226-1339

Practice Phone: 214-826-5000
Practice Fax:

1386618510 — MELISSA CARRY M.D.
Practice Location Address:

621 N HALL ST , SUITE 400
DALLAS, TX
75226-1339

Practice Phone: 214-826-5000
Practice Fax:

1912971144 — JOHN SCHUMACHER M.D.
Practice Location Address:

621 N HALL ST , SUITE 400
DALLAS, TX
75226-1339

Practice Phone: 214-826-5000
Practice Fax:

Directions to “ JERROLD GRODIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.