Provider Demographics
NPI:1730166935
Name:GROSSMANN, JONATHAN C (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:C
Last Name:GROSSMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 LINCOLN CIR SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-1862
Mailing Address - Country:US
Mailing Address - Phone:712-737-2000
Mailing Address - Fax:712-737-2115
Practice Address - Street 1:1000 LINCOLN CIR SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1862
Practice Address - Country:US
Practice Address - Phone:712-737-2000
Practice Address - Fax:712-737-2115
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2023-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA30022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0117551OtherMEDICA
IAF64958OtherCOVENTRY HEALTH CARE
IA426038405OtherCIGNA
IA0117551OtherUNITED HEALTH CARE
IA4969OtherMIDLANDS CHOICE
IA0634626Medicaid
IA46874OtherBC/BS ER LOCATION
IA54146OtherFIRST ADMINISTRATORS
IA42603840551041OtherWPS TRICARE
IA5099184Medicaid
IA54146OtherWELLMARK BC/BS
IA54146OtherIOWA BANKERS
IA20248OtherSIOUX VALLEY HEALTH PLAN
IA6099184Medicaid
IA703361023654OtherPREFERRED ONE
IA0117551OtherUNITED HEALTH CARE
IA54146OtherFIRST ADMINISTRATORS
IA42603840551041OtherWPS TRICARE
IA5099184Medicaid