Active NPI
William Elsworth Gross, MD
- Otolaryngology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME123489
- Practice address
- 5147 N 9TH Ave
Pensacola, FL 32504-8771 - Phone
- (850) 475-9025
- Fax
- (850) 494-7855
- NPI assigned
- Oct 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME123489 | FL | Primary |
Addresses
Primary practice location
5147 N 9TH Ave
Pensacola, FL 32504-8771
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZNV4 | Other | FL | FLORIDA BLUE |
| 016139100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Virginia School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5147 N 9TH Ave
Suite 325
Pensacola, FL 32504-8771
Phone (850) 475-9025
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123489 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| White-Wilson Medical Center PA | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| WW Medical Center, PA | Past | Accepting new patients | |
| Mid-South Ear, Nose, and Throat, P.C. | Otolaryngology | Past | Accepting new patients |
| North Internal Medicine, P. C. | Past | Accepting new patients |
Locations
1110 Hospital Rd
Fort Walton Beach, FL 32547
Phone (850) 863-8235
1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
5147 N 9th Ave
Ste 325
Pensacola, FL 32504
Phone (850) 475-9025
Interoperability endpoints
- william.gross.1@9582.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
dba White-Wilson Medical Center
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1467437277
-
dba Ascension Medical Group Sacred Heart
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
-
dba White-Wilson Medical Center
- Clinic/Center
- Fort Walton Beach, FL
- NPI 1225981707
-
- Otolaryngology Physician
- Germantown, TN
- NPI 1689780066
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1518982008
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1114916756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6063",
"fax_number": "904-539-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5147 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048771",
"telephone_number": "850-475-9025",
"fax_number": "850-494-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "WILLIAM",
"middle_name": "ELSWORTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME123489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "AZNV4",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016139100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.