Provider Demographics
NPI:1275604142
Name:YRAM J. GROFF, M.D., P.C.
Entity Type:Organization
Organization Name:YRAM J. GROFF, M.D., P.C.
Other - Org Name:GROFF ORTHOPAEDICS AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YRAM
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:GROFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-683-1717
Mailing Address - Street 1:510 S AIKEN AVE STE EG-01
Mailing Address - Street 2:EAST WING SHADYSIDE HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1505
Mailing Address - Country:US
Mailing Address - Phone:412-683-1717
Mailing Address - Fax:412-683-1773
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-683-1717
Practice Address - Fax:412-683-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD063920L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
100590Medicare ID - Type Unspecified
H35406Medicare UPIN