Provider Demographics
NPI:1851367601
Name:GROSSMANN, ERIK MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:MICHAEL
Last Name:GROSSMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3220 BLUFF CREEK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3663
Mailing Address - Country:US
Mailing Address - Phone:573-443-8773
Mailing Address - Fax:573-443-6843
Practice Address - Street 1:ONE HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-2100
Practice Address - Fax:573-882-6054
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO110753208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO422451OtherHEALTHLINK, INC
MO9396315OtherPHCS
MO7783424OtherAETNA
MOH80809OtherMERCY
MO206038606Medicaid
MO2300542OtherUNITED HEALTHCARE
MO42394OtherHEALTHCARE USA
MO208812OtherANTHEM BLUECROSS BLUESHIE
MO431428562OtherGREAT WEST
MO28058OtherGHP
MO42394OtherHEALTHCARE USA
MO208812OtherANTHEM BLUECROSS BLUESHIE
MO2300542OtherUNITED HEALTHCARE
MO422451OtherHEALTHLINK, INC