MEDICARE: MS. KATHERINE ELIZABETH GROSS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	58013	AZ

General Provider Information

NPI Number	:	1336584184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE ELIZABETH GROSS M.D.

Provider Business Mailing Address
First Line	:	14300 W GRANITE VALLEY DR STE E23
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5798
Country	:	US
Telephone Number	:	623-975-0500
Fax Number	:	623-975-0705

Provider Business Practice Location Address
First Line	:	14300 W GRANITE VALLEY DR STE E23
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5798
Country	:	US
Telephone Number	:	623-975-0500
Fax Number	:	623-975-0705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2013
Last Update Date	:	04/03/2026

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