NPIMap

Organization Active NPI

James a Gross MD SC

  • Gastroenterology Physician
  • Grayslake, IL
National Provider Identifier
1306069513
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036072198 Issued in IL
Legal business name
JAMES A GROSS MD SC
Practice address
130 S Il Route 83
Grayslake, IL 60030-1620
Phone
(847) 856-3800
Fax
(847) 856-3803
NPI assigned
Apr 10, 2007
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James A Gross, MDNPI 1497733851
Title
President
Phone
(847) 856-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 036072198 IL Primary

Addresses

Primary practice location

130 S Il Route 83
Grayslake, IL 60030-1620

Mailing address

130 S Il Route 83
Grayslake, IL 60030-1620
Phone (847) 856-3800

Other identifiers 1

IdentifierTypeStateIssuer
31603690OtherILBLUE CROSSBLUE SHIELD IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1306069513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S IL ROUTE 83",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301620",
            "telephone_number": "847-856-3800",
            "fax_number": "847-856-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S IL ROUTE 83",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301620",
            "telephone_number": "847-856-3800",
            "fax_number": "847-856-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A GROSS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-856-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036072198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD IL",
            "identifier": "31603690",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.