Jody R Gross in Marshfield - Pediatric Critical Care Medicine
Jody R Gross - NPI 1114028941
Jody R Gross is a Pediatric Critical Care Medicine in Marshfield, Wisconsin. Jody R Gross practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Jody R Gross is 1114028941. The last update date is 2010-09-30.
Jody R Gross's current location address is 1000 N Oak Ave, Marshfield, Wisconsin. You can contact this provider via phone number 7153875065. The mailing address for Jody R Gross is 1000 N Oak Ave, Marshfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody R Gross |
|---|---|
| Address | 1000 N Oak Ave, Marshfield, Wisconsin |
| Phone Number | 7153875065 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114028941 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 1000 N Oak Ave |
|---|---|
| City | Marshfield |
| State | Wisconsin (WI) |
| Post Code | 544495777 |
| Phone Number | 7153875065 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 26376 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30590900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jody R Gross by the Centers for Medicare & Medicaid Services?
The Jody R Gross has been assigned the NPI (National Provider Identifier) 1114028941 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jody R Gross's physical address?
The Jody R Gross is physically located at 1000 N Oak Ave, in the city of Marshfield, WI, with the postal code 544495777.
What is the area of specialization for Jody R Gross, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jody R Gross is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114028941 to Jody R Gross?
The Centers for Medicare & Medicaid Services originally issued the 1114028941 to Jody R Gross on 2006-09-26.
When was the Jody R Gross's information last updated?
The Jody R Gross's information was last updated on 2010-09-30.