Provider Demographics
NPI:1912972621
Name:GROSS, FRANCES C (DO)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:C
Last Name:GROSS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 NORTH POINT BOULEVARD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-569-6481
Mailing Address - Fax:717-569-5213
Practice Address - Street 1:160 NORTH POINT BOULEVARD
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-569-6481
Practice Address - Fax:717-569-5213
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005413L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA500910OtherHIGHMARK BLUE SHIELD
PAE64188OtherHEALTH ASSURANCE
PA01872001OtherCAPITAL BLUE CROSS
PA1070321OtherAMERIHEALTH MERCY
PA5595462OtherAETNA NON-HMO
PA0010979800003Medicaid
PA539858OtherAETNA HMO
PA70157 S1BXOtherGEISINGER HEALTH PLAN
PAP002498OtherGATEWAY HEALTH PLAN
PA500910OtherHIGHMARK BLUE SHIELD
PA500910JZEMedicare PIN