DR. ROBERT O. GROSS (NPI# 1033200795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033200795 |
Entity Type | Individual |
Full Name | DR. ROBERT O. GROSS |
Credential | D.O. |
Practice Address |
800 1st Ave N Suite #1 Clear Lake IA 50428-1725 |
Mailing Address |
Po Box 145 Clear Lake IA 50428-0145 |
Practice Telephone | 6413572141 |
Practice Fax Number | 6413574315 |
Mailing Telephone | 6413572141 |
Mailing Fax Number | 6413574315 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01767 | IA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK | 16725 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780101634 | Robert Gross | Marriage & Family Therapist | 1425 Leimert Blvd Ste 300, Oakland, CA 94602-1808 | 2017-08-23 |
1518110782 | Robert Gross IIi | Social Worker | 91 Nortwest Dr, Plainville, CT 06062 | 2008-10-31 |
1518121672 | Robert Alvin Gross | Dentist | 1251 A Thornbury Lane, Manchester, NJ 08759 | 2008-07-17 |
1184756264 | Robert Gross | Marriage & Family Therapist | 3855-f Alamo St., Suite 2032, Simi Valley, CA 93063 | 2007-03-12 |
1902989916 | Robert Gross | Internal Medicine | 376 South Oyster Bay Road, Hicksville, NY 11801 | 2006-10-23 |
1902833981 | Robert Hadley Gross | Psychiatry & Neurology | 417 Montecito Dr, San Angelo, TX 76903-9103 | 2006-06-27 |
1316944234 | Robert David Gross | Ophthalmology | 8222 Douglas Ave Ste 400, Dallas, TX 75225-5935 | 2005-07-07 |
1366719643 | Robert D Gross | Technician, Other | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-11-30 |
1902180755 | Robert L Gross | Pharmacist | 5755 20th St, Vero Beach, FL 32966-4636 | 2011-09-28 |
1225358054 | Robert H Gross | Psychiatry & Neurology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-06-03 |
Street Address |
800 1ST AVE N SUITE #1 |
City | CLEAR LAKE |
State | IA |
Zip Code | 50428-1725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326275462 | Jacob Dean Sorensen | Dentist | 800 1st Ave N, Suite 2, Clear Lake, IA 50428-1725 | 2009-06-16 |
1417096660 | Patrick Gerald Carney | Dentist | 800 1st Ave N, Suite 2, Clear Lake, IA 50428-1725 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
1780228270 | Laura Lee Wilcke | Behavioral Analyst | 1020 Buddy Holly Place, Clear Lake, IA 50428 | 2019-10-29 |
1578120978 | Jon Secory | Pharmacist | 20 S. 4th St, Clear Lake, IA 50428 | 2019-05-22 |
1285109207 | Julie Livingston | Registered Nurse | Thrifty White Drug, 1907 Us Highway 18 East, Clear Lake, IA 50428 | 2018-10-05 |
1720580277 | Kelly Nieman | Nurse Practitioner | 1410 6th Ave South, Clear Lake, IA 50428 | 2018-03-01 |
1427439892 | Christopher Fischer | Physical Therapist | 7 S 8th St Ste C, Clear Lake, IA 50428 | 2015-06-11 |
1609114958 | Hasco Inc. | Pharmacy | 8 North 4th St, Clear Lake, IA 50428 | 2013-01-22 |
1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
1326204686 | Anjali S. Henry | Pediatrics | 418 North Shore Drive, Clear Lake, IA 50428 | 2008-08-05 |
Find all providers in zip 50428 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1093313124 | Larry Paul Welder | General Practice | 1217 K Ave, Nevada, IA 50201-1943 | 2020-10-12 |
1619594819 | Jeffrey Everett Simons | General Practice | 1600 Nw 114th St, Clive, IA 50325-7071 | 2020-07-03 |
1598305021 | Taffe Wellness Center PC | General Practice | 105 S Phillips St, Algona, IA 50511-2848 | 2020-01-13 |
1578124921 | Lmmc Des Moines Lllp | General Practice | 1300 37th St Ste 1, West Des Moines, IA 50266-1900 | 2019-06-26 |
1861951568 | Lmmc Council Bluffs Lllp | General Practice | 20 Power Dr Ste 5, Council Bluffs, IA 51501-7701 | 2019-03-13 |
1265919948 | Oelwein Community Healthcare Foundation | General Practice | 2405 Rock Island Road, Oelwein, IA 50662-5066 | 2018-07-25 |
1447638960 | Joel H Silver | General Practice | 2000 N Court St Trlr 4c, Fairfield, IA 52556-2078 | 2015-05-16 |
1619397288 | Deanna Mcgarity | General Practice | 4511 Crestmoor Dr, Des Moines, IA 50310-3794 | 2014-04-22 |
1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
1235475088 | New Leaf Wellness | General Practice | 12129 University Ave Ste 1500, Clive, IA 50325-8287 | 2012-12-26 |
Find all providers with the same taxonomy |
City | CLEAR LAKE |
Zip Code | 50428 |
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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.