| Andrew Jonathan Gross, MD | |
|
9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 | |
| (440) 205-5788 | |
| (440) 205-5781 |
| Full Name | Andrew Jonathan Gross |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 9485 Mentor Ave Ste 3, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942798608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35.147954 (Ohio) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 57.246406 (Ohio) | Secondary |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Jonathan Gross, MD 11919 Claridon Troy Rd, Chardon, OH 44024-8441 Ph: (330) 805-0162 | Andrew Jonathan Gross, MD 9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 Ph: (440) 205-5788 |
Louis J Novak, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave Ste 3, Mentor, OH 44060 Phone: 440-205-5755 | |
Gilbert Padula, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave Ste 3, Mentor, OH 44060 Phone: 440-205-5755 Fax: 440-205-5789 | |
Eli Daniel Scher, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 9485 Mentor Ave Ste 3, Mentor, OH 44060 Phone: 440-266-5957 |