Active NPI
Stewart Cory Gross, M.D.
- Orthopaedic Hand Surgery Physician
- Bridgeport, CT
National Provider Identifier
1740484187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 029910
- Practice address
- 2660 Main St Ste 311
Bridgeport, CT 06606-5301 - Phone
- (203) 367-4008
- Fax
- (203) 368-0292
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 29910 | CT | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 029910 | CT | Primary |
Addresses
Primary practice location
2660 Main St Ste 311
Bridgeport, CT 06606-5301
Mailing address
2660 Main St Ste 311
Bridgeport, CT 06606-5301
Phone (203) 367-4008
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZS224 | Other | CT | OXFORD |
| 001125 | Other | CT | HEALTHNET |
| 001299107 | Medicaid | CT | |
| 010029910CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
| 4351331 | Other | CT | AETNA US HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29910 | CT | MD | Surgery of the Hand (Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1740484187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 MAIN ST STE 311",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065301",
"telephone_number": "203-367-4008",
"fax_number": "203-368-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 MAIN ST STE 311",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065301",
"telephone_number": "203-367-4008",
"fax_number": "203-368-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "STEWART",
"middle_name": "CORY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "CT",
"license": "29910",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CT",
"license": "029910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ZS224",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "001125",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001299107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010029910CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTH CARE",
"identifier": "4351331",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.