DR. GARY EDWARD GROSS MD NPI 1033116439

NPI Information

  • NPI: 1033116439
  • Provider Name: DR. GARY EDWARD GROSS, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • Address: 825 MEDICAL DR
    TYLER, TX
    ZIP 75701
  • Phone: (903) 597-2273

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NPI Details

DR. Gary Edward Gross, MD is a hematology and oncology internal medicine in Tyler, TX. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Gary Edward Gross, MD NPI is 1033116439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

825 MEDICAL DR
TYLER, TX
ZIP 75701-143
Phone: (903) 597-2273
Fax: (903) 597-2466

The enumeration date for this NPI number is 6/30/2005 and was last updated on 10/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyE9671TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18A2512MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2128154506MEDICAIDTEXAS
3C16331MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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