Katelyn Gross
Katelyn Stauffer · Physician Assistant

Address: 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730
Phone: 3042962395

Katelyn Gross (NPI# 1568842326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1568842326
Entity Type Individual
Full Name Katelyn Gross
Other Name Katelyn Stauffer
Credential PA-C
Gender Female
Practice Address 4000 Hampton Ctr
Suite B
Morgantown
WV 26505-1730
Practice Telephone 3042962395
Mailing Address 4000 Hampton Ctr
Suite B
Morgantown
WV 26505-1730
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-06-05
Last Update Date 2017-09-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Physician Overview

NPI 1568842326
PAC ID by PECOS 1951617885
Professional Enrollment ID I20150908002446
Full Name Katelyn R Gross
Organization Legal Name SANJAY BHARTI MD PLLC
Phone Number 3045981200
Gender F
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8224171251
Number of Group Practice Members 27
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510024 MONONGALIA COUNTY GENERAL HOSPITAL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 90%

Office Location

Street Address 4000 HAMPTON CTR
SUITE B
City MORGANTOWN
State WV
Zip Code 26505-1730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437526118 Amanda Fincham Physician Assistant 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 2015-08-28
1811363336 Steven Whitelatch Physician Assistant 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 2015-08-19
1356722169 Katelyn Plum Nurse Practitioner 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 2015-06-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922584242 Lisa Kate Hostutler Pharmacist 1851 Earl L. Core Rd, Morgantown, WV 26505 2018-07-19
1467954214 Lisa Laine Lepera Nurse Practitioner 30 Mon Health Drive, Morgantown, WV 26505 2018-03-07
1861992174 Usa Vein Clinics of West Virginia Pllc Surgery 1010 Suncrest Towne Centre, Morgantown, WV 26505 2018-02-14
1932619939 Kayla N Strimel Physician Assistant 2000 Mon Health Medical Park Dr # 2300, Morgantown, WV 26505 2017-10-04
1922529940 Amber Lynn Mutimer Nurse Practitioner 30 Mon General Drive, Morgantown, WV 26505 2017-06-29
1396272092 Essential Foundations, Pllc Community/Behavioral Health 1287 Suncrest Towne Centre, Morgantown, WV 26505 2017-05-12
1982141776 Heidi Otoole Counselor 235 High Street, Suite 720, Morgantown, WV 26505 2017-01-31
1689111452 Good Heart Therapy Services, Pllc Public Health or Welfare 235 Hgh Street, Suite 311, Morgantown, WV 26505 2017-01-31
1982158630 Rebecca Rohanna Physical Therapist 6000 Hampton Center, Suite B, Morgantown, WV 26505 2016-08-11
1548626914 Hilary Hicks Pharmacist 500 Suncrest Centre, Morgantown, WV 26505 2016-01-14
Find all providers in zip 26505

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932619939 Kayla N Strimel Physician Assistant 2000 Mon Health Medical Park Dr # 2300, Morgantown, WV 26505 2017-10-04
1518339670 Justin Browning Physician Assistant 1 Medicial Center Drive, Morgantown, WV 26505 2015-10-28
1871929711 Alicia Zomcik Physician Assistant Room 3400 Hss, Wvu Ruby Memorial Hospital, Morgantown, WV 26506 2013-09-24
1417119736 Gregory Paul Selasky Physician Assistant 491 Michigan Ave, Morgantown, WV 26501-3908 2008-06-27
1730300948 Stacy Leigh Skidmore Physician Assistant 1 Stadium Drive Physician Office Center, Morgantown, WV 26506-9196 2007-05-02
1740263995 Gary P Barcinas Physician Assistant 111 Stanley St, Morgantown, WV 26508-9115 2005-11-22
1487124160 Sharon Roberta Cain Physician Assistant 1 Medical Center Dr, Morgantown, WV 26506-1200 2018-11-26
1841768942 Kayla Turconi Physician Assistant 1 Medical Center Dr, Morgantown, WV 26506-1200 2018-11-06
1346720414 Laura Michelle Dent Physician Assistant 1 Medical Center Dr, Morgantown, WV 26506-1200 2018-08-18
1205327566 Sarah Leigh Lasala Physician Assistant 341 Spruce St, Morgantown, WV 26505-5504 2018-05-22
Find all providers in MORGANTOWN

Competitor

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City MORGANTOWN
Zip Code 26505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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