JESSICA GROSS PA-C NPI 1871109256

NPI Information

NPI: 1871109256
Provider Name: JESSICA GROSS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
6089 W MAPLE RD STE 200
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 851-1600
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Jessica Gross, PA-C is a medical physician assistant in West Bloomfield, MI. Jessica Gross, PA-C NPI is 1871109256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6089 W MAPLE RD STE 200
WEST BLOOMFIELD, MI
ZIP 48322-286
Phone: (248) 851-1600
Fax: (248) 851-0421

The NPI 1871109256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2020 and was last updated on 12/17/2022.

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
1	363AM0700X	Physician Assistant	Medical	5601010866	MICHIGAN	Yes

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: 4/28/2024

NPI Synchronization or Removal

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