GARY M GROSS (NPI# 1760434252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760434252 |
| Entity Type | Individual |
| Full Name | GARY M GROSS |
| Credential | MD |
| Practice Address |
1910 E Thomas Rd Ste 200 Phoenix AZ 85016-7767 |
| Mailing Address |
Po Box 18844 Huntsville AL 35804-8844 |
| Practice Telephone | 6022662200 |
| Practice Fax Number | 6026045046 |
| Mailing Telephone | 2568838222 |
| Mailing Fax Number | 2568838230 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 8969 | AL | Other Service Providers |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
988 | WI | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
57626 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
59181 | TN | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
8969 | AL | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
1910 E THOMAS RD STE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063975076 | Diana Thayer | Nurse Practitioner | 1910 E Thomas Rd Ste 200, Phoenix, AZ 85016 | 2019-04-08 |
| 1255812491 | Lesley Howard | Physician Assistant | 1910 E Thomas Rd Ste 200, Phoenix, AZ 85016-7767 | 2018-08-26 |
| 1619480977 | Jasson Castano | Physician Assistant | 1910 E Thomas Rd Ste 200, Phoenix, AZ 85016-7767 | 2017-11-08 |
| 1881752038 | Kelly Renee Grogan | Nurse Practitioner | 1910 E Thomas Rd Ste 200, Phoenix, AZ 85016-7767 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894890 | Honorhealth Ambulatory | Surgery | 9250 N 3rd St Ste 2000, Phoenix, AZ 85020-2403 | 2020-06-03 |
| 1275157414 | Honorhealth Ambulatory | Surgery | 18404 N Tatum Blvd Ste 201, Phoenix, AZ 85032-1508 | 2020-06-03 |
| 1467744490 | Martin Paul Zomaya | Surgery | 3033 N Central Ave Ste 610, Phoenix, AZ 85012 | 2011-05-10 |
| 1326230681 | Salaheddine Tomeh Md PC | Surgery | 333 W Thomas Rd Ste 201, Phoenix, AZ 85013-4425 | 2007-08-10 |
| 1952311037 | Southwestern Cardiovascular and Thoracic Surgeons Ltd | Surgery | 10390 N Tatum Blvd, Suite 103, Phoenix, AZ 85028 | 2006-08-09 |
| 1356303747 | Ronald D Gordon | Surgery | 3811 East Bell Road, Suite 208, Phoenix, AZ 85032 | 2006-04-03 |
| 1003876269 | Jeromy Brink | Surgery | 3033 N Central Ave, 610, Phoenix, AZ 85012-2809 | 2006-03-23 |
| 1275502015 | Valley Vascular Surgeons PC | Surgery | 3811 East Bell Rd, Suite 208, Phoenix, AZ 85032 | 2006-03-15 |
| 1902807852 | Dawn Marie Olsen | Surgery | 3600 N 3rd Ave Ste B, Phoenix, AZ 85013-3944 | 2005-08-02 |
| 1881698256 | Casey L Huston | Surgery | 4045 E Bell Rd, Suite 127, Phoenix, AZ 85032-2236 | 2005-06-13 |
| Find all providers in PHOENIX | ||||
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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.