Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan L Grosdidier, MD

Individual provider Surgery Physician · NPI 1992808398

Jonathan L Grosdidier, MD is a General Surgery in Douglas, Wyoming. Graduated from Sanford School of Medicine of University of South Dakota in 1992, 34 years ago. Practices with Memorial Hospital of Converse County, a 80-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
34
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
WY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 5th St
Douglas, WY 82633-2434
Phone: (307) 358-2122
Fax: (307) 358-9216
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 7331A (WY)

Record details

NPI number1992808398
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address111 S 5th St, Douglas, WY 82633-2434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1992 (34 years in practice)
Group practice Memorial Hospital Of Converse County — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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