NPI age
9 years
Enumerated 2017-04-10
● Active
Type 1 · Individual
Theodore Gross
Gross is 1 of 3 pediatrics providers in Fruitland and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
1100 Nw 12th St
Fruitland, ID 836195040
Mailing address
1100 Nw 12th St
Fruitland, ID 836195040
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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