Peter W Gross III, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

360 N Oak St
Columbia City, IN 46725-1608

Phone

(260) 244-0264

Fax

(260) 244-1983

NPI assigned

Sep 21, 2023

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2023.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1750169512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-244-0264",
            "fax_number": "260-244-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N OAK ST",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251608",
            "telephone_number": "260-244-0264",
            "fax_number": "260-244-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.