# SUSAN A GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578564605
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 35067804 | OH | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000141247 | ANTHEM | OH |
| 05 | — | 0163433 | — | OH |
| 01 | — | 01991 | PARAMOUNT | OH |
| 01 | — | 04-03000 | UHC | OH |
| 01 | — | 0638005 | AETNA | OH |
| 01 | — | 11062 | HPM | OH |
| 01 | — | 29556773-003 | MMO | OH |