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NPI Code Detail

MEDICARE: DAVID S GLOSS II MD

MEDICARE: DAVID S GLOSS II MD
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
1207RN0300XNephrology Physician23780ND
22084N0400XNeurology Physician26580WV
32084N0400XNeurology Physician01098728AIN
42084N0600XClinical Neurophysiology Physician26580WV
52084N0400XNeurology Physician200319LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821278912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID S GLOSS II MD
Provider Business Mailing Address
First Line : 10101 PARK ROWE AVE STE 200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1685
Country : US
Telephone Number : 225-769-2200
Fax Number : 833-756-2680
Provider Business Practice Location Address
First Line : 10101 PARK ROWE AVE STE 200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70810-1685
Country : US
Telephone Number : 225-769-2200
Fax Number : 833-756-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 01/29/2026

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1043239825 — STEPHANIE A FLETCHER P.T.
Practice Location Address:
10101 PARK ROWE AVE STE 200
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