Theodore Gross
Pediatrics Physician · Fruitland, ID
Theodore Gross is a pediatrics physician with a practice address in Fruitland, Idaho, and NPI 1922531508, issued on Apr 10, 2017. Check the license (Idaho M-15894, as entered in NPPES) on the Idaho Board of Medicine; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Theodore Gross
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- M-15894 ID
Self-reported in NPPES; status is on the state search - Practice location
- 1100 NW 12TH St, Fruitland, ID 83619
- Phone
- (208) 452-6556
- Enumerated
- Apr 10, 2017
- Record last updated
- Aug 5, 2025
- Entity
- Type 1 · individual
Also registered at 1100 NW 12TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sage Benintendi-Stringer, PAPhysician Assistant1902985740
- Matthew Berria, PAPhysician Assistant1982791810
- Baylee Buckland, PA-CMedical Physician Assistant1881321198
- Abby DavisPediatrics Physician1124758479
- Michelle Devoe, D.O.Pediatric Adolescent Medicine Physician1265437529
- Page Erntson, LCSWSocial Worker1073399259
Verify Theodore Gross in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIdaho Board of Medicine
Search for license M-15894Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2 pediatrics physician records list a practice address in Fruitland
They are 2 of the 147 NPPES records with a practice address in Fruitland, and 223 pediatrics physician records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2 in Fruitland → All 223 in Idaho → Every provider in Fruitland →
Other pediatrics physician records in Idaho
- Richard Aguilar, M.D.Nampa, ID1932198967
- Alexandria Ahlm, DOBoise, ID1740126648
- Joshua AlbrightMeridian, ID1134614985
- Michael Aldous, M.D.Nampa, ID1386616431
- Eric Allen, MDTwin Falls, ID1508494071
- Craig Ambroson, MDLewiston, ID1629024179
- Kelly Anderson, MDIdaho Falls, ID1194935049
- Naya Antink, MDBoise, ID1811942816
- Vaun Archibald, DOBoise, ID1417937517
- Jennica Armstrong, DOCaldwell, ID1437853256
Common questions
What is Theodore Gross's NPI number?
Theodore Gross's National Provider Identifier (NPI) is 1922531508, issued on Apr 10, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Theodore Gross located?
The NPPES record lists a practice address at 1100 NW 12TH St, Fruitland, ID, 83619. Phone: (208) 452-6556. Providers update this record themselves, so call before visiting.
How can I verify Theodore Gross's license?
NPPES lists Idaho license number M-15894, as entered by the provider. Search the Idaho Board of Medicine at https://dopl.idaho.gov/bom/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.