{"npi":"1710929708","type":"NPI-1","status":"active","name":{"display":"Michael Grossman DO","other":[],"first":"MICHAEL","last":"GROSSMAN","middle":"ROBERT","credential":"DO"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"GA","license":"051467"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"PA","license":"OS010419L"}]},"addresses":[{"purpose":"LOCATION","street_1":"965 SHAMROCK LN","city":"CORRY","state":"PA","postal_code":"164071196","country_code":"US","phone":"8146644641","fax":"8146648799"},{"purpose":"MAILING","street_1":"1 LECOM PL","city":"ERIE","state":"PA","postal_code":"165052571","country_code":"US","phone":"8148682507","fax":"8148682522"}],"license":{"state":"PA","number":"OS010419L"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"204624381C","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041206000879","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"GA","pac_id":"1153387774"},{"enrlmt_id":"I20111019000673","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"1153387774"},{"enrlmt_id":"I20120717000057","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"NY","pac_id":"1153387774"},{"enrlmt_id":"I20130304000117","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"PA","pac_id":"1153387774"}]},"enumeration_date":"2006-06-12","last_updated":"2023-12-19","_meta":{"source":"NPPES","snapshot_date":"2023-12-19","doc_url":"https://findmynpi.com/api"}}