Grace H Yoo M D and Gerald a Ross DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS8788 Issued in FL

Legal business name

GRACE H YOO M D AND GERALD A ROSS DO PA

Practice address

501 NW Lake Whitney Place
#106
Port Saint Lucie, FL 34986-3443

Phone

(772) 785-8000

Fax

(772) 785-8150

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gerald A Ross, D.O.

Title

President

Phone

(772) 785-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal ObGyn Specialists Doing business as

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1700908654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PLACE",
            "address_2": "#106",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863443",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NW LAKE WHITNEY PLACE",
            "address_2": "#106",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863443",
            "telephone_number": "772-785-8000",
            "fax_number": "772-785-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE H YOO M D AND GERALD A ROSS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-785-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS8788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal ObGyn Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randy Govea, PTA
• Alexander Goycochea
• Michelle Celena Gozar, ARNP
• Zorunna Grabovaia, LCPC
• Grace and Amazing Comfort Care LLC
• Grace Place Care Center Inc
• Grandparents House Alf 2 Inc
• Grandparents House Alf Inc
• Robert Lance Grayson, MS, LMT, NCTMB, EFR
• Sara Michele Greco

• Obstetrics & Gynecology Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.