GARY PAUL GROSS (NPI# 1043299639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043299639 |
| Entity Type | Individual |
| Full Name | GARY PAUL GROSS |
| Credential | M.D. |
| Practice Address |
1802 Braeburn Dr Salem VA 24153-7357 |
| Mailing Address |
1802 Braeburn Drive Salem VA 24153-7357 |
| Practice Telephone | 5407723421 |
| Practice Fax Number | 5407725994 |
| Mailing Telephone | 5407723421 |
| Mailing Fax Number | 5407725994 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101029581 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005900816 | 05 | |
| VA | MEDICARE RAILROAD | P00276914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508921784 | Gary Gross | Obstetrics & Gynecology | 1550 Drew Ave, Ste 100, Davis, CA 95618-1628 | 2006-12-27 |
| 1093801573 | Gary Thomas Gross | Dentist | 1018 Regis Ct., Eau Claire, WI 54701 | 2006-10-04 |
| 1760434252 | Gary M Gross | Specialist | 1910 E Thomas Rd Ste 200, Phoenix, AZ 85016-7767 | 2006-05-16 |
| 1285601336 | Gary Neil Gross | Allergy & Immunology | 5499 Glen Lakes Drive, Ste 100, Dallas, TX 75231 | 2006-03-07 |
| 1336143247 | Gary Lance Gross | Allergy & Immunology | 802 W Park Ave, Ste 213, Ocean, NJ 07712-8526 | 2005-06-08 |
| 1023127032 | Gary P Gross | Pediatrics | 477 N El Camino Real Ste B105, Encinitas, CA 92024-1330 | 2006-08-30 |
| 1033116439 | Gary Edward Gross | Internal Medicine | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-06-30 |
| Street Address |
1802 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121338 | Mark R Hanabury Jr. | Specialist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2005-06-01 |
| 1841851433 | Grace Julia Valiulis | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-06-24 |
| 1083279376 | Olivia Jayne Darwin | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-05-02 |
| 1487166088 | Christopher Cutchin Coulter | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-11-04 |
| 1063946358 | Kimberly Charise Martin | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-04-13 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1255875589 | Sarah Markwood | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-12-06 |
| 1437506789 | Nicole Crowder | Registered Nurse | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-05-17 |
| 1508228669 | Mohammed Abdul Khadar Siddiqui | Pediatrics | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-03-28 |
| 1851757629 | Alisha O Lipes | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649354929 | Thomas V Kruse, M.d., P.C. | Dermatology | 1410 Commercial Street Se, Salem, OR 97302-4308 | 2006-10-24 |
| 1003862285 | Thomas V Kruse | Dermatology | 1410 Commercial St Se, Salem, OR 97302 | 2006-05-26 |
| 1598710725 | John Vonweiss M.d. Inc | Dermatology | 107 Highland Ave, Salem, MA 01970-2721 | 2006-05-24 |
| 1831150846 | Dermatology Clinic PC | Dermatology | 2441 Grear St Ne, Salem, OR 97301-2749 | 2006-03-29 |
| 1518959998 | Patricia Reed Tate | Dermatology | 911 N Shelby St, Salem, IN 47167-2304 | 2005-08-22 |
| 1700311974 | Kelsey Ferrell | Dermatology | 1793 13th St Se, Salem, OR 97302 | 2017-04-25 |
| 1720436397 | Allison Stoecker | Dermatology | 1793 13th St Se, Salem, OR 97302-2541 | 2016-05-24 |
| 1154700839 | Karsten Johnson | Dermatology | 1793 13th St Se, Salem, OR 97302 | 2015-05-27 |
| 1669868493 | Collin Matthew Blattner | Dermatology | 1793 13th St Se, Salem, OR 97302-2541 | 2015-04-08 |
| 1508276023 | Haley Snadecki | Dermatology | 5 Paradise Rd, Salem, MA 01970-4229 | 2014-05-06 |
| Find all providers in SALEM | ||||
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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.