Provider Demographics
NPI:1134102957
Name:GROSSINGER, STEVEN D (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:GROSSINGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3954
Mailing Address - Country:US
Mailing Address - Phone:215-789-6264
Mailing Address - Fax:215-754-4695
Practice Address - Street 1:891 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3954
Practice Address - Country:US
Practice Address - Phone:215-789-6264
Practice Address - Fax:215-754-4695
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006633L2084N0400X, 208VP0014X, 208VP0000X, 207R00000X
DEC200053062084N0400X, 208VP0000X, 208VP0014X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000035676Medicaid
PA0017321880001Medicaid
PA004615P4RMedicare PIN
PA130013580Medicare PIN
F81297Medicare UPIN
DE1000035676Medicaid