DR. JERRY LEE GROSS (NPI# 1134149628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134149628 |
| Entity Type | Individual |
| Full Name | DR. JERRY LEE GROSS |
| Credential | DPM |
| Practice Address |
247 Shiloh Rd Forest City NC 28043-6958 |
| Practice Telephone | 8282456405 |
| Practice Fax Number | 8282453923 |
| Mailing Telephone | 8282456405 |
| Mailing Fax Number | 8282453923 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 422 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790800J | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647709 | Jerry J Gross | Internal Medicine | 5730 Packard Ave, Ste 600, Marysville, CA 95901-7118 | 2005-05-31 |
| 1598893570 | Jerry H Gross | Dentist | 152 Market St, Suite 400, Paterson, NJ 07505-1724 | 2007-03-01 |
| Street Address |
247 SHILOH RD |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-6958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740378496 | Foot and Ankle Center of The Carolinas, Pa | Physical Therapist | 247 Shiloh Rd, Forest City, NC 28043-6958 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821322 | Dlp Rutherford Physician Practices LLC | Podiatrist | 212 Allendale Dr, Forest City, NC 28043-2889 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457913006 | Caromont Medical Group Inc | Podiatrist | 2555 Court Dr Ste 250, Gastonia, NC 28054-2185 | 2019-07-03 |
| 1902370968 | Mission Foot and Ankle, Pllc | Podiatrist | 4140 Fayetteville Rd, Lumberton, NC 28358-2669 | 2019-01-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1598240525 | Innovative Foot and Ankle Care Pllc | Podiatrist | 318 English Oak Rd, Fletcher, NC 28732-8368 | 2018-09-25 |
| 1568949915 | Natalie Patricia Martinez-jones | Podiatrist | 9601 Holly Point Dr Ste 203, Huntersville, NC 28078-5069 | 2018-07-27 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1508215179 | Bryan Joseph Williams | Podiatrist | 428 N Trade St Ste 100, Matthews, NC 28105-1729 | 2016-06-06 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1578941423 | Kristin A Kirby | Podiatrist | 15419 Hodges Cir Ste 200, Huntersville, NC 28078 | 2015-05-12 |
| 1396138228 | Barnabas Podiatry & Health Wellness Center LLC | Podiatrist | 2709 Southern Trace Dr, Waxhaw, NC 28173-0010 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
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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.