Physician Compare National (NPI:1962574483)

HEALTHCARE PROVIDER: G S PETER GROSS DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962574483
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557419546
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090430000476
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GROSS
	Individual professional last name
Provider First Name	GS PETER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	732 S 8TH ST
	Group Practice or individual's line 1 address
City	PHILADELPHIA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	191472004
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390226
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PENNSYLVANIA HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390174
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390111
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL OF UNIV OF PENNSYLVANIA
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y