NPI 1326004987 · live from the CMS NPI Registry
Scott R Grosskreutz, MD
Radiology, Diagnostic Radiology in Hilo, HI. National Provider Identifier 1326004987, active.
NPI record
| NPI | 1326004987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 82 Puuhonu Pl, #102, Hilo, HI 96720 |
| Practice phone | 808-961-4746 |
| Mailing address | 10800 E Geddes Ave Ste 300, Englewood, CO 80112 |
| Enumerated | April 24, 2006 |
| Last updated | February 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| 2085N0904X | MD5547 (HI) | |
| Radiology, Diagnostic Radiology | 2085R0202X | 55947 (CO) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD5547 (HI) |
| Radiology, Diagnostic Ultrasound | 2085U0001X | MD5547 (HI) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD5547 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.