DR. EDWARD JOHN GROSS (NPI# 1912929043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912929043 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JOHN GROSS |
| Other Name | DR. EDWARD JOHN GROSS |
| Credential | M.D. |
| Practice Address |
1035 Primera Blvd. Lake Mary FL 32746-2193 |
| Practice Telephone | 4073333040 |
| Practice Fax Number | 4073333496 |
| Mailing Telephone | 4073333040 |
| Mailing Fax Number | 4073333496 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0074351 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HEALTHCARE | 1000573 | 01 |
| FL | AETNA | 2371491 | 01 |
| FL | BLUE CROSS/BLUE SHIELD | 46407 | 01 |
| FL | HUMANA | 593613914 | 01 |
| FL | CIGNA | 4856086004 | 01 |
| FL | BEECH STREET | 593613914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520743 | Edward Alexander Gross | General Practice | 116 Fifth Ave, Pelham, NY 10803-1504 | 2010-10-28 |
| 1801953658 | Edward Gross | Psychologist | 333 West 57th Street, Suite 103, New York, NY 10019 | 2007-01-02 |
| 1629136791 | Edward C Gross | Anesthesiology | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2006-12-04 |
| 1720190473 | Edward S Gross | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-31 |
| 1164475257 | Edward A. Gross | Dermatology | 333 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140-3641 | 2006-05-18 |
| Street Address |
1035 PRIMERA BLVD. |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609948330 | Edward J. Gross M.d., Pl | Surgery | 1035 Primera Blvd., Lake Mary, FL 32746 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073861472 | Saylor Physical Therapy of Lake Mary LLC | Specialist | 925 Williston Park Pt Ste 1001, Lake Mary, FL 32746-2114 | 2012-08-16 |
| 1912278284 | Elaine Thilo | Specialist | 400 Timberwalk Ln, Lake Mary, FL 32746-4027 | 2012-01-19 |
| 1205038569 | A H Vs LLC | Specialist | 801 International Pkwy, 6th Floor, Lake Mary, FL 32746-4762 | 2007-05-31 |
| 1285788083 | Optimum Rehab, Inc. | Specialist | 145 Middle St, Suite 1101, Lake Mary, FL 32746-3594 | 2007-01-22 |
| 1235288135 | Gia Lloyd Giles | Specialist | 1325 S International Pkwy Ste 1221, Lake Mary, FL 32746-1406 | 2007-01-09 |
| 1689732091 | Roger Wade Nash | Specialist | 165 Waymont Court, Lake Mary, FL 32746 | 2006-12-05 |
| 1265454425 | Cyrus Diagnostic Imaging Inc | Specialist | 165 Waymont Ct, Lake Mary, FL 32746 | 2006-07-24 |
| 1265427793 | Lilian Therezinha Alevato | Specialist | 525 Technology Park Ste 109, Lake Mary, FL 32746-7107 | 2005-09-12 |
| 1942293022 | Florida Psychiatric Consultants Pa | Specialist | 1301 S International Parkway, Suite 2021, Lake Mary, FL 32746-1411 | 2005-08-24 |
| 1104821081 | Miles M Landis | Specialist | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2005-06-16 |
| Find all providers in LAKE MARY | ||||
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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.