Gary P Gross (NPI# 1043299639, PAC ID# 7810917317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1043299639 |
| PAC ID by PECOS | 7810917317 |
| Professional Enrollment ID | I20051129000779 |
| Full Name | Gary P Gross |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Address |
1802 Braeburn Dr Salem VA 24153-7357 |
| Phone Number | 5407723400 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6507886231 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490048 | LEWISGALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1802 Braeburn Dr, Salem, VA 24153-7357 | 5407723400 | LEWIS GALE PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita I Register | Obstetrics/gynecology | Lewis Gale Physicians LLC | 826 Davis St, Blacksburg, VA 24060-7010 |
| Brent M May | Physician Assistant | Lewis Gale Physicians LLC | 1902 Braeburn Dr, Salem, VA 24153-7304 |
| Vishalakshi K Sundaram | Family Medicine | Lewis Gale Physicians LLC | 4910 Valley View Nwblvd, Roanoke, VA 24012-2040 |
| Patrick William Kenney | Nurse Practitioner | Lewis Gale Physicians LLC | 1940 Braeburn Cir A, Salem, VA 24153-7388 |
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Kathryn C Hoyt | Physician Assistant | Lewis Gale Physicians LLC | 101 Knotbreak Rd, Salem, VA 24153-5404 |
| Casey R Bowles | Physician Assistant | Lewis Gale Physicians LLC | 4615 Huntridge Rd, Roanoke, VA 24012-8510 |
| Street Address |
1802 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip | 24153-7357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Andrew J Maiolo | Cardiovascular Disease (cardiology) | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Robert Kevin Schergen | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 1802 Braeburn Dr, M120, Salem, VA 24153-7357 |
| Paul A Yeaman | Physician Assistant | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Lee A Speed | Certified Registered Nurse Anesthetist (crna) | Blue Ridge Anesthesia Associates Inc | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Kimberly C Martin | Nurse Practitioner | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Brian E Wood | Psychiatry | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Richard R Johnson | Ophthalmology | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Dominique Dempah | General Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Owusu Asamoah | Internal Medicine | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deana A Young | Family Medicine | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Amy Foutz | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Taylor Noelle Griffith | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Lauren R Sylvain | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Ijeoma N Okogbue | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Puja R Ganjwala | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Jon Thomas Royall | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Laura Rapp | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Christian A Brickner | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Nicole D Kemp | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Find all physicians in zip 24153 | |||
| City | SALEM |
| Zip Code | 24153 |
| Specialty | DERMATOLOGY |
| City + Specialty | SALEM + DERMATOLOGY |
Please comment or provide details below to improve the information on Gary P Gross.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.