Elizabeth Jean Gross, 50002874

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50002874 Issued in OH

Practice address

1550 Sheridan Dr
Suite 202
Lancaster, OH 43130-1381

Phone

(740) 654-0232

Fax

(740) 654-9794

NPI assigned

Jan 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1508003278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301381",
            "telephone_number": "740-654-0232",
            "fax_number": "740-654-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SHERIDAN DR",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301381",
            "telephone_number": "740-654-0232",
            "fax_number": "740-654-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "credential": "50002874",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50002874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory C. Michaels D.D.S., M.S. Oral & Maxillofacial Surgery,Inc.
• Andrew Gregory, DO
• Brandy Jean Greig, CNP
• Cole Griffin
• Shanna Marie Griffith, RN
• Sean Howard Grossarth, PSA, CDCA-P, RA
• Zachery Donald Grover
• Victoria Groves, LPN
• Abbagail Grubb, NP-BC
• Sherri Lynn Guajardo I, R.N

• Medical Physician Assistant in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.