Robert J Grass

MD | Pediatrics | Male

Robert J Grass, MD is a Fond Du Lac, Wisconsin based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Robert J Grass is 420 E Division St, Fond Du Lac, Wisconsin - 54935-4560. He can be contacted on phone at 920-926-8615. Robert J Grass is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert J Grass is 1689665093 which was assigned by NPPES on 03 Nov, 2005 and it was last updated on 20 Oct, 2020. Robert J Grass license number is 43234 for Pediatrics (208000000X) in Wisconsin.
Robert J Grass is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Robert J Grass basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Robert J Grass
Credential :MD
Gender :Male
Business Address:
Robert J Grass address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :420 E Division St
Fond Du Lac, WI, 54935-4560
United States
Phone Number :920-926-8615
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1689665093
NPI Entity Type : Individual
First Enrolment Date : 03 Nov, 2005
Last Updated On : 20 Oct, 2020
Medicare Participation:
Robert J Grass participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :9436288958
Medicare Enrollment ID :I20100521000337
Primary Specialty :Internal Medicine
Medical School :Medical College Of Wisconsin
Graduation Year :1997
Accepts Medicare?Yes. Robert J Grass accepts medicare insurance.
Group Practice Association:
Robert J Grass is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Robert J Grass is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Agnesian Healthcare Inc1658289624308145 N Main St
Fond Du Lac, WI - 549353423
Ph: 9209268722
Yes
Agnesian Healthcare Inc1658289624308420 E Division St
Fond Du Lac, WI - 549354560
Ph: 9209237400
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert J Grass are as mentioned. Primary taxonomy code for Robert J Grass, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207RA0000XInternal Medicine Adolescent MedicineNo43234WI
208000000XPediatricsYes43234WI
Legacy Identifiers:
Other legacy medical identifiers of Robert J Grass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
110221540OtherWIRAILROAD MEDICARE
34090300MEDICAIDWI
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
rgrass332093@direct-ehr-ssmhc.com

No affiliationDIRECT
Direct
OTHER
Other
rgrass332093@direct-ehr-ssmhc.com
420 E DIVISION ST,
FOND DU LAC, WI, 54935-4560
United States
FHIR
(FHIR URL)
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/

No affiliationOTHER
Other
FHIR API
OTHER
Other
CCD
420 E DIVISION ST,
FOND DU LAC, WI, 54935-4560
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :420 E Division St
Fond Du Lac, WI, 54935-4560
United States
Phone Number :920-926-8340
Fax Number :920-926-8370
Business Location:
Patients can refer following map for directions to Robert J Grass practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.