Monica Sage Gross, M.D,
Individual provider Active NPI Pediatrics Physician · Juneau, AK
NPI 1184789547 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184789547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 3322 (AK)
- Practice address
- 1600 Glacier Ave
Juneau, AK 99801-1430 - Phone
- (907) 586-1542
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/766713c8-6704-4cf2-bcff-6dfc96f148b0/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3322 | AK | Yes |
Addresses
Primary practice location
1600 Glacier Ave
Juneau, AK 99801-1430
Mailing address
524 Main St
Juneau, AK 99801-1154
Phone (907) 586-6789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD14482 | Medicaid | AK |
Other providers in Juneau, AK
- Diana Griffiths
- Bradley Grigg
- Kennon Grigg
- Christopher Grinder
- Alan S. Gross
- Ground Transport Solutions Inc
- Katie Grove
- Pamela A Gruchacz
- Guardian Flight LLC
- Guardian Flight LLC
All providers in Juneau, AK · Pediatrics Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.