Organization Active NPI

Mario M Gross, MD, PA

  • Obstetrics & Gynecology Physician
  • Midland, TX
National Provider Identifier
1790705226
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K6569 Issued in TX
Legal business name
MARIO M GROSS, MD, PA
Practice address
4400 N Midland Dr
Suite 506
Midland, TX 79707-3385
Phone
(432) 684-9500
Fax
(432) 684-9501
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mario M Gross, MDNPI 1821046178
Title
President
Phone
(432) 684-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K6569 TX Primary

Addresses

Primary practice location

4400 N Midland Dr
Suite 506
Midland, TX 79707-3385

Mailing address

PO Box 5263
Midland, TX 79704-5263
Phone (432) 684-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790705226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5263",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797045263",
            "telephone_number": "432-684-9500",
            "fax_number": "432-684-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR",
            "address_2": "SUITE 506",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073385",
            "telephone_number": "432-684-9500",
            "fax_number": "432-684-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO M GROSS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-684-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.