Active NPI
James R Gross, M.D.
- Otolaryngology Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00019697
- Practice address
- 118 S 12TH St
Mount Vernon, WA 98274-4036 - Phone
- (360) 336-2178
- Fax
- (360) 336-1995
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | MD00019697 | WA | |
| Otolaryngic Allergy Physician | 207YX0602X | MD00019697 | WA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD00019697 | WA | |
| Plastic Surgery Physician | 208200000X | MD00019697 | WA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD00019697 | WA | |
| Surgery Physician | 208600000X | MD00019697 | WA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD00019697 | WA | |
| Surgical Oncology Physician | 2086X0206X | MD00019697 | WA | |
| Otolaryngology Physician | 207Y00000X | MD00019697 | WA | Primary |
Addresses
Primary practice location
118 S 12TH St
Mount Vernon, WA 98274-4036
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgross12462@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Washington School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
118 S 12TH St
Mount Vernon, WA 98274-4036
Phone (360) 336-2178
Hospital & facility affiliations
- Skagit Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Otolaryngology | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1019 24th St
#B
Anacortes, WA 98221
Phone (360) 293-8438
118 S 12th St
Mount Vernon, WA 98274
Phone (360) 336-2178
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
111 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-2178
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- jgross12462@skagit.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Otolaryngology/Facial Plastic Surgery Physician
- Mount Vernon, WA
- NPI 1215368717
Otolaryngology
-
- Rural Health Clinic/Center
- Darrington, WA
- NPI 1013064575
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1023082203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"fax_number": "360-336-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S 12TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744036",
"telephone_number": "360-336-2178",
"fax_number": "360-336-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "JAMES",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "WA",
"license": "MD00019697",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00019697",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgross12462@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "118 S 12th St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744036",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.