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

Jonathon Lee Gross, MD, MBA

Individual provider Family Medicine Physician · NPI 1750840054

Jonathon Lee Gross, MD, MBA is a Family Practice in Provo, Utah. Graduated from Tufts University School of Medicine in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Utah.

Years since qualifying
7
Trained at
Tufts University School of Medicine
Licensed in
PA, UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

395 W Cougar Blvd Ste 205
Provo, UT 84604-3328
Phone: (801) 357-1770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1068 W Baltimore Pike, Media, PA 19063-5104 — (484) 227-4216

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD493634 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11837381-1205 (UT)

Record details

NPI number1750840054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 16, 2019
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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