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 |
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Provider Name : | Robert J Grass |
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Credential : | MD |
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Gender : | Male |
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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 |
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Phone Number : | 920-926-8615 |
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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 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 03 Nov, 2005 |
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Last Updated On : | 20 Oct, 2020 |
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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 |
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Medicare Enrollment ID : | I20100521000337 |
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Primary Specialty : | Internal Medicine |
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Medical School : | Medical College Of Wisconsin |
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Graduation Year : | 1997 |
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Accepts Medicare? | Yes. Robert J Grass accepts medicare insurance. |
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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 ID | No. of Members | Practice Address | Group Accepts Medicare |
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Agnesian Healthcare Inc | 1658289624 | 308 | 145 N Main St Fond Du Lac, WI - 549353423 Ph: 9209268722 | Yes |
Agnesian Healthcare Inc | 1658289624 | 308 | 420 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 | Speciality | Primary | License No. | State |
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207RA0000X | Internal Medicine Adolescent Medicine | No | 43234 | WI |
208000000X | Pediatrics | Yes | 43234 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Robert J Grass such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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110221540 | Other | WI | RAILROAD MEDICARE |
34090300 | MEDICAID | WI | |
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 Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | rgrass332093@direct-ehr-ssmhc.com
| No affiliation | DIRECT 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 affiliation | OTHER 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 |
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Phone Number : | 920-926-8340 |
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Fax Number : | 920-926-8370 |
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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.