NPI 1093210114

Jonathan Taylor Grossman, DO

Practitioner Neurology Physician Fort Wayne, IN

Practice location

Address: 11104 Parkview Circle Dr STE 110, Fort Wayne, IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6615
Mailing address: 2 W Delaware Pl Unit 2807, Chicago, IL 60610-3416

Registered specialties (2)

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence DO2026-0116 (NM)

Other Psychiatry & Neurology providers in Indiana →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 02008130A (IN)

Registry record

NPI: 1093210114
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2018
Record last updated: 21 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.