Sonya Gross
Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1235871997
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1235871997
- Entity type
- Individual (NPI-1)
- Name
- Sonya Gross
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2022
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MA063471 | PA | Yes |
Practice location
3401 N Broad St Ste 410Philadelphia, PA 19140-5103
Phone 865-441-6784
Mailing address
316 W Providence RdAldan, PA 19018-3830
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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