JEFFREY GLENN GROSS (NPI# 1427059351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427059351 |
Entity Type | Individual |
Full Name | JEFFREY GLENN GROSS |
Credential | M.D. |
Practice Address |
7620 Trenholm Road Ext Columbia SC 29223-1718 |
Practice Telephone | 8037367200 |
Practice Fax Number | 8037362116 |
Mailing Telephone | 8037367200 |
Mailing Fax Number | 8037362116 |
Enumeration Date | 2005-08-02 |
Last Update Date | 2017-08-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 14505 | SC | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
14505 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | TL2900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730578527 | Jeffrey Gross | Radiology | 6525 N Mozart St, Apt 3, Chicago, IL 60645-4377 | 2015-01-15 |
1598997512 | Jeffrey Lee Gross | Pharmacist | 1475 N Bridge St, Elkin, NC 28621-2334 | 2009-08-10 |
1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
1760599526 | Jeffrey Gross | Podiatrist | 47 Oak Street, Stamford, CT 06905 | 2006-08-25 |
1477514248 | Jeffrey S Gross | Dentist | 34586 Lakeshore Blvd, Eastlake, OH 44095-2002 | 2006-03-31 |
1609877703 | Jeffrey M Gross | Physical Medicine & Rehabilitation | 32 Union Sq E, 7th Floor, New York, NY 10003-3209 | 2005-08-10 |
1093359838 | Jeffrey Brian Gross | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2019-11-05 |
1134681166 | Jeffrey Nichols Gross | Student in an Organized Health Care Education/Training Program | 545 Barnhill Drive, Emerson Hall 232, Indianapolis, IN 46202 | 2019-03-31 |
1639416563 | Jeffrey Gross | Pharmacist | 13401 S Dixie Hwy, Pinecrest, FL 33156-6512 | 2013-01-11 |
1104936780 | Jeffrey D Gross | Internal Medicine | 1601 Clint Moore Rd, Suite 115, Boca Raton, FL 33487-2768 | 2006-08-30 |
Street Address |
7620 TRENHOLM ROAD EXT |
City | COLUMBIA |
State | SC |
Zip Code | 29223-1718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205892783 | Carolina Retina Center P.a. | Ophthalmology | 7620 Trenholm Road Ext, Columbia, SC 29223-1718 | 2006-04-25 |
1134120868 | Michael Allen Magee | Ophthalmology | 7620 Trenholm Road Ext, Columbia, SC 29223-1718 | 2005-08-03 |
1316948243 | Barron Crawford Fishburne | Ophthalmology | 7620 Trenholm Road Ext, Columbia, SC 29223-1718 | 2005-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
Find all providers in zip 29223 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971620 | Missouri Retina Consultants PC | Ophthalmology | 105 N Keene St Ste 102, Columbia, MO 65201-8131 | 2020-10-29 |
1457301996 | William Fort Crosswell | Ophthalmology | 1920 Pickens St, Columbia, SC 29201 | 2006-05-12 |
1982662847 | Derek L Barker | Ophthalmology | 1920 Pickens St, Columbia, SC 29201-2632 | 2006-05-02 |
1144204553 | Retina Associates of Missouri, P.C. | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2005-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463142 | Hilton Head Retina Institute, LLC | Ophthalmology | 15 Lafayette Pl Ste C, Hilton Head Island, SC 29926-2277 | 2020-10-06 |
1417581638 | South Carolina Retina Institute LLC | Ophthalmology | 1404 Main St, Conway, SC 29526-3567 | 2020-02-26 |
1033189501 | Charles L Tucker | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
1730159401 | Nasrollah Samiy | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
1962472639 | Arman K Farr | Ophthalmology | 724 Arden Lane, Suite 220, Rock Hill, SC 29732 | 2006-01-25 |
1538142179 | James G Hall | Ophthalmology | 1126 Grove Rd, Greenville, SC 29605-4620 | 2005-11-29 |
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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.