STEVEN DARRELL GROSSEN MD
NPI 1205565371
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since June 06, 2022PECOS Enrolled
1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2024, Jun 6, 2022 (2 updates tracked since 2022).

About Steven Darrell Grossen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN DARRELL GROSSEN MD (NPI 1205565371) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205565371
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEVEN DARRELL GROSSENCredential: MD
Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849
Mailing Address1941 S Pierpont Dr Apt 2101Mesa, AZ 85206-4665 · (480) 213-4408
Sole ProprietorNo
Enumeration DateJune 6, 2022
Last NPPES UpdateMay 19, 20242 updates tracked since enumeration
NPPES CertifiedMay 19, 2024
NPI 1205565371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 N 12TH ST STE 508, Phoenix, AZ 85006

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Steven Darrell Grossen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Pharmacist (Ambulatory Care)
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205565371, enumerated as an "individual" on June 06, 2022.

The provider is located at 1300 N 12TH ST STE 508 PHOENIX, AZ 85006 and the phone number is (602) 839-3927.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.