GARY GROSS (NPI# 1508921784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508921784 |
| Entity Type | Individual |
| Full Name | GARY GROSS |
| Credential | MD |
| Practice Address |
1550 Drew Ave Ste 100 Davis CA 95618-1628 |
| Practice Telephone | 5307710177 |
| Practice Fax Number | 5307710135 |
| Mailing Telephone | 5307710177 |
| Mailing Fax Number | 5307710135 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 32510 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UNITED HEALTH CARE | 0709026 | 01 |
| MA | BCBS OF MA | M07809 | 01 |
| MA | TUFTS HEALTH PLAN | 700800 | 01 |
| MA | AETNA | 4294344 | 01 |
| MA | CIGNA | 0235816 | 01 |
| MA | HARVARD PILGRIM | D32621 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1043299639 | Gary Paul Gross | Dermatology | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-01-11 |
| 1033116439 | Gary Edward Gross | Internal Medicine | 825 Medical Dr, Tyler, TX 75701-2143 | 2005-06-30 |
| Street Address |
1550 DREW AVE STE 100 |
| City | DAVIS |
| State | CA |
| Zip Code | 95618-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1437616349 | Dagon Jones Dds Inc. | Dentist | 2800 5th Street, Suite 100, Davis, CA 95618 | 2019-02-27 |
| 1265938484 | Martel Elizabeth Costa | Nurse Practitioner | 1909 Galileo Ct Ste A, Davis, CA 95618 | 2018-04-05 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1700103314 | Daren Allen Casagrande | Counselor | 315 Mace Blvd, Davis, CA 95618 | 2010-04-23 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1356463004 | Vincent & Associates | Speech-Language Pathologist | 3560 J Street, Suite 1, Sacramento, CA 95618 | 2007-04-04 |
| 1316075138 | New Life Clinic | Acupuncturist | 1736 Picasso Ave., Suite B, Davis, CA 95618 | 2007-03-01 |
| 1558419622 | Baoping Li | Acupuncturist | 1736 Picasso Ave, Suite B, Davis, CA 95618 | 2007-01-08 |
| Find all providers in zip 95618 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295003119 | Kenneth Niswander | Obstetrics & Gynecology | 622 Barbera Pl, Davis, CA 95616-0409 | 2011-12-06 |
| 1801931217 | Zaid Maqbool | Obstetrics & Gynecology | 1207 Ladera Ct, 1207 Ladera Court, Davis, CA 95616-7115 | 2007-02-21 |
| 1588784334 | Pravin T Goud | Obstetrics & Gynecology | 1550 Drew Ave Ste 100, Davis, CA 95821 | 2007-03-29 |
| 1033238605 | Suzanne L. Bier | Obstetrics & Gynecology | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2007-03-28 |
| 1104998863 | Tia D. Will | Obstetrics & Gynecology | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2006-11-15 |
| 1093893828 | Carol J. Darwish | Obstetrics & Gynecology | 2020 Sutter Place, St 203, Davis, CA 95616 | 2006-11-01 |
| 1497833131 | Kimberly A. Ohlson | Obstetrics & Gynecology | 1955 Cowell Blvd, Davis, CA 95616-6325 | 2006-11-01 |
| 1790876712 | Leon D Schimmel | Obstetrics & Gynecology | 2051 John Jones Rd, Davis, CA 95616-9701 | 2006-09-27 |
| 1841399516 | Zoe A Tilton | Obstetrics & Gynecology | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-21 |
| 1063515856 | Bethelen J Johnson | Obstetrics & Gynecology | 2020 Sutter Pl, #203, Davis, CA 95616-6201 | 2006-09-07 |
| Find all providers in DAVIS | ||||
Please comment or provide details below to improve the information on GARY GROSS.
| 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.