Patrick Jacob Gross, DO | |
10401 Sawmill Pkwy, Suite 20, Powell, OH 43065-7451 | |
(614) 764-9955 | |
(614) 792-5086 |
Full Name | Patrick Jacob Gross |
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Gender | Male |
Speciality | Pediatrics |
Location | 10401 Sawmill Pkwy, Powell, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962644054 | NPI | - | NPPES |
0086785 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34010958 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Patrick Jacob Gross, DO 5400 Frantz Rd, Suite 250, Dublin, OH 43016-4144 Ph: () - | Patrick Jacob Gross, DO 10401 Sawmill Pkwy, Suite 20, Powell, OH 43065-7451 Ph: (614) 764-9955 |
Dr. Sara M Kelly, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Gracia De Jong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Clairedan Dr, Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Jacqueline Pennywitt, Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Clairedan Dr, Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Adebomi Adeola Omikunle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Laura E Osthaus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Michael R Franks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 | |
Dr. Christopher B. Houts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Clairedan Dr., Powell, OH 43065 Phone: 614-888-8989 Fax: 614-888-8968 |