Marlene Adriene Gross, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA052292 Issued in PA

Practice address

6101 Landsdowne Avenue
Philadelphia, PA 19151

Phone

(215) 477-3900

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• St Aloisius Hospital Inc

  dba St Aloisius Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
  • NPI 1639296007
  NPD (past)
• Trinity Health

  dba Trinity Portable X-Ray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Minot, ND
  • NPI 1629636204
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689719221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 W COUNTRY CLUB RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312813",
            "telephone_number": "215-477-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 LANDSDOWNE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19151",
            "telephone_number": "215-477-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MARLENE",
        "middle_name": "ADRIENE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA052292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoff Gross
• Jennifer Anne Gross, SLP
• Jessica Gross, NP
• Kelly Gross, RN
• Leslie Raymond Gross, D.D.S.
• Paul R Gross, MD
• Rachel G Gross, MD
• Renae Maria Gross
• Robert Gross, MD MSCE
• Sonya Gross

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.