ALAN B GROSBACH MD NPI 1891793006

NPI Information

NPI: 1891793006
Provider Name: ALAN B GROSBACH, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
1601 SW ARCHER RD
HEMATOLOGY/ONCOLOGY (111)
GAINESVILLE, FL
ZIP 32608
Phone: (352) 376-1611
Get Directions

Alan B Grosbach, MD is a hematology and oncology internal medicine in Gainesville, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Alan B Grosbach, MD NPI is 1891793006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 SW ARCHER RD
HEMATOLOGY/ONCOLOGY (111)
GAINESVILLE, FL
ZIP 32608-135
Phone: (352) 376-1611
Fax: (352) 271-4575

The NPI 1891793006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 11/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	04462R	LOUISIANA	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	ME103867	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B60369	MEDICARE UPIN
2	5J223	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
3	CI472Z	MEDICARE PIN	FLORIDA
4	1942871	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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