Michael Leslie Gross in Virginia Beach - Dermatology
Michael Leslie Gross - NPI 1932105285
Michael Leslie Gross is a Dermatology in Virginia Beach, Virginia. Michael Leslie Gross practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Michael Leslie Gross is 1932105285. The last update date is 2012-05-23.
Michael Leslie Gross's current location address is 828 Healthy Way, Virginia Beach, Virginia. You can contact this provider via phone number 7579656165 and fax number 7579656296. The mailing address for Michael Leslie Gross is 828 Healthy Way, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Leslie Gross |
|---|---|
| Address | 828 Healthy Way, Virginia Beach, Virginia |
| Phone Number | 7579656165 |
| Fax Number | 7579656296 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932105285 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 828 Healthy Way |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 2346279580 |
| Phone Number | 7579656165 |
| Fax Number | 7579656296 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 101052313 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5900379 | VA | -- | |
| 77060 | VA | OPTIMA | |
| 75428 | VA | ANTHEM BC/BS | |
| 890625A | NC | NC MEDICAID | |
| 70008396 | VA | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael Leslie Gross?
The Michael Leslie Gross has been issued the NPI (National Provider Identifier) 1932105285 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Michael Leslie Gross's physical address?
The Michael Leslie Gross is physically located at 828 Healthy Way, in the city of Virginia Beach, VA, with the postal code 2346279580.
What is Michael Leslie Gross's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael Leslie Gross is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932105285 to Michael Leslie Gross?
The Centers for Medicare & Medicaid Services assigned the 1932105285 to Michael Leslie Gross on 2005-06-22.
When was the information pertaining to Michael Leslie Gross most recently updated or revised?
The details related to Michael Leslie Gross, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-23.
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