Individual provider Active NPI

Maureen Elizabeth Gross, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1629365689
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20144037732 Issued in MO
Practice address
400 S Kingshighway Blvd
Saint Louis, MO 63110-1014
Phone
(314) 362-9123
Fax
(314) 747-3338
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20144037732 MO
Emergency Medicine Physician 207P00000X 20144037732 MO Primary

Addresses

Primary practice location

400 S Kingshighway Blvd
Saint Louis, MO 63110-1014

Mailing address

660 S Euclid Ave
C B 8072
Saint Louis, MO 63110-1010
Phone (314) 362-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160924000210 LA Practitioner - Emergency Medicine 3274762430 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Creighton University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foucher Emergency Group LLCGroup PAC ID 8729254073, 40 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20144037732MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Dec 11, 2018 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty Emergency Medicine CurrentSince Apr 21, 2018 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Aug 9, 2016 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Feb 28, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince May 23, 2017 Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1514 Jefferson Hwy
New Orleans, LA 70121

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1629365689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8072",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101014",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "20144037732",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "20144037732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.