Active NPI
Todd Arlen Gross, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Fargo, ND
National Provider Identifier
1982654646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R14737
- Practice address
- 2301 25TH St S Ste K
Fargo, ND 58103-6104 - Phone
- (701) 234-1728
- Fax
- (701) 234-1681
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R14737 | ND | Primary |
Addresses
Primary practice location
2301 25TH St S Ste K
Fargo, ND 58103-6104
Mailing address
1601 64TH Ave N
Fargo, ND 58102-6036
Phone (701) 232-6544
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fargo, ND
- NPI 1467513176
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1982654646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 64TH AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581026036",
"telephone_number": "701-232-6544",
"fax_number": "701-232-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 25TH ST S STE K",
"city": "FARGO",
"state": "ND",
"postal_code": "581036104",
"telephone_number": "701-234-1728",
"fax_number": "701-234-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "TODD",
"middle_name": "ARLEN",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R14737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.