Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Gross

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922531508

Theodore Gross is a Student in an Organized Health Care Education/Training Program in Fruitland, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fruitland, ID

No coordinates on file. Search this address in Google Maps

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-15894 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922531508
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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