KYLE GROSS (NPI# 1033697362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033697362 |
| Entity Type | Individual |
| Full Name | KYLE GROSS |
| Practice Address |
3 Richland Medical Park Dr Ste 510 Columbia SC 29203-6854 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8033606099 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
21917 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5554 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194210047 | Kyle William Gross | Dentist | 398 E Fm 1382 Ste B, Cedar Hill, TX 75104-6024 | 2018-06-23 |
| Street Address |
3 RICHLAND MEDICAL PARK DR STE 510 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518090901 | Andres Felix Leone | Family Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2007-03-14 |
| 1801457452 | Lisa Alline Miller | Nurse Practitioner | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2019-06-25 |
| 1699244335 | Benjamin James Keenan | Nurse Practitioner | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-11-23 |
| 1164913224 | Palmetto Health - University of South Carolina Medical Group | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-05-24 |
| 1679842967 | Aye Phyu Aung | Internal Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| 1861428625 | Linda Ann Poquette | Nurse Practitioner | 10832 Symphony Way, Columbia, MD 21044-4921 | 2006-06-24 |
| 1417560889 | Aziz Petiwala | Nurse Practitioner | 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 | 2020-08-26 |
| 1134751084 | James Stewart Morgan | Nurse Practitioner | 1601 Greene St, Columbia, SC 29208-4001 | 2020-02-09 |
| 1457831125 | Deidra M Singleton | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2018-08-21 |
| 1407333446 | Kimberly Ann Robertson | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2018-07-23 |
| 1962989020 | Alexandra Budnyk | Nurse Practitioner | 6334 Cedar Ln Ste 103, Columbia, MD 21044-3898 | 2018-07-22 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.