JONATHAN MICHAEL GROSS (NPI# 1457593881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457593881 |
| Entity Type | Individual |
| Full Name | JONATHAN MICHAEL GROSS |
| Credential | M.D. |
| Practice Address |
444 Nw Elks Dr Corvallis OR 97330-3745 |
| Mailing Address |
520 Country Club Rd Eugene OR 97401-6043 |
| Practice Telephone | 5417541256 |
| Practice Fax Number | 3605171472 |
| Mailing Telephone | 5416835001 |
| Mailing Fax Number | 5416831422 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD165536 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD165536 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500673731 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705278 | Jonathan Gross | Physician Assistant | 3169 12th Ave Se, Hickory, NC 28602-9666 | 2017-04-20 |
| 1912419557 | Jonathan Steven Gross | Case Manager/Care Coordinator | 274 Sutton Rd, Cincinnati, OH 45230-3521 | 2017-11-03 |
| 1174880959 | Jonathan Drew Gross | Clinical Neuropsychologist | 9310 Old Kings Rd S, Suite 102, Jacksonville, FL 32257-6152 | 2012-04-18 |
| 1194920751 | Jonathan Seth Gross | Radiology | 560 1st Ave, He 221, New York, NY 10016-6402 | 2007-06-15 |
| 1316960552 | Jonathan Gross | Specialist | 3333 Hylan Blvd, Staten Island, NY 10306 | 2006-07-26 |
| Street Address |
444 NW ELKS DR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891790952 | Shelly R Svoboda | Psychiatry & Neurology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2005-06-16 |
| 1770098659 | Heather Lauren Herman | Nurse Practitioner | 444 Nw Elks Dr, Corvallis, OR 97330 | 2017-12-13 |
| 1033642020 | Beth Anne Rathbun | Physician Assistant | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2017-04-06 |
| 1649678434 | Diane Wendel Habel | Social Worker | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2014-12-11 |
| 1912317751 | Caitlin Deede | Registered Nurse | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2014-05-01 |
| 1851722706 | Nelson Joseph Binggeli | Psychologist | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2013-12-03 |
| 1396087110 | Bryce Andrew Allio | Urology | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2013-03-19 |
| 1699040311 | Kristen Workman | Specialist/Technologist, Other | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2012-03-13 |
| 1295013613 | Gregory Allen Richard | Ophthalmology | 444 Nw Elks Dr, Corvallis, OR 97330 | 2011-08-02 |
| 1083904304 | Keith Ryan Wells | Internal Medicine | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295103448 | Good Samaritan Hospital Corvallis | Internal Medicine | 441 Nw Elks Dr, Corvallis, OR 97330-3744 | 2015-09-04 |
| 1154360584 | Margaret Carol Sunderland | Internal Medicine | 501 Nw Elks Drive, Corvallis, OR 97330-3757 | 2006-06-04 |
| 1508951864 | Tina Marina Passalaris | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2006-10-04 |
| 1710924451 | Herschel D Wallen | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2006-06-01 |
| 1780674036 | David Michael Hufnagel | Internal Medicine | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351137 | Apurva Pandey | Internal Medicine | 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 | 2013-03-27 |
| 1295826014 | Thomas Patrick Trezona | Internal Medicine | 3783 International Ct Ste 200, Springfield, OR 97477-1025 | 2006-09-27 |
| 1013932854 | Robert Charles Lufkin | Internal Medicine | 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 | 2006-07-13 |
| 1871550822 | Dawn Lemanne | Internal Medicine | 1801 Highway 99 N Ste 2, Ashland, OR 97520-9152 | 2006-04-26 |
| 1386647923 | Ravindra R Patil | Internal Medicine | 727 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-05-27 |
| 1467455386 | William Gert Schmidt Jr. | Internal Medicine | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2005-05-24 |
| 1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
| 1255740965 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2014-08-06 |
| 1750708202 | Theodore Paul Braun | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-22 |
| 1437595857 | Providence Health & Services - Oregon | Internal Medicine | 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 | 2013-05-13 |
| Find all providers with the same taxonomy | ||||
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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.