MEDICARE: DR. STEVEN GROSSMAN DPM

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	213E00000X	Podiatrist	36001586	OH

General Provider Information

NPI Number	:	1780687871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN GROSSMAN DPM

Provider Business Mailing Address
First Line	:	3255 E LIVINGSTON AVENUE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1967
Country	:	US
Telephone Number	:	614-239-9444
Fax Number	:	614-239-1080

Provider Business Practice Location Address
First Line	:	4068 GANTZ RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-4816
Country	:	US
Telephone Number	:	614-539-0200
Fax Number	:	614-317-7392

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/15/2022

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