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

Kenneth Russell Grosslight, MDJD

Individual provider Anesthesiology Physician · NPI 1194770115

Kenneth Russell Grosslight, MDJD is an Anesthesiology in West Columbia, South Carolina. Graduated from University of Florida College of Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
44
Trained at
University of Florida College of Medicine
Licensed in
SC, VA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3227 Sunset Blvd # F Ste 102
West Columbia, SC 29169-3201
Phone: (803) 724-2336
Fax: (803) 724-2317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 12719 (SC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 0101036844 (VA)

Record details

NPI number1194770115
Entity typeIndividual (Type 1)
GenderMale
Credentials MDJD
Sole proprietorYes
NPI enumeratedMay 24, 2006
Last updated in NPPESJuly 24, 2015

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesPAIN MANAGEMENT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Columbia