Active NPI
Richard a. Gross, M.D., P.C.
- Internal Medicine Physician
- Middleboro, MA
National Provider Identifier
1912192030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42720
- Legal business name
- RICHARD A. GROSS, M.D., P.C.
- Practice address
- 339 Center St
Middleboro, MA 02346-2143 - Phone
- (508) 947-7673
- Fax
- (508) 947-6336
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Richard Allen Gross, M.D.
- Title
- President
- Phone
- (508) 947-7673
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- West Springfield, MA
- NPI 1508897802
-
- Clinical Social Worker
- Wareham, MA
- NPI 1336245216
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42720 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
339 Center St
Middleboro, MA 02346-2143
Mailing address
339 Center St
Middleboro, MA 02346-2143
Phone (508) 947-7673
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712579 | Other | MA | TUFTS |
| J17026 | Other | MA | BCBC/MA |
| 9725636 | Medicaid | MA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2007.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1912192030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CENTER ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462143",
"telephone_number": "508-947-7673",
"fax_number": "508-947-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 CENTER ST",
"city": "MIDDLEBORO",
"state": "MA",
"postal_code": "023462143",
"telephone_number": "508-947-7673",
"fax_number": "508-947-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A. GROSS, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "GROSS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-947-7673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "42720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "712579",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBC/MA",
"identifier": "J17026",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9725636",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.