JEREMY ROSS MD PLLC NPI 1053814160

NPI Information

NPI: 1053814160
Provider Name: JEREMY ROSS MD PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
333 S 38TH ST STE A
MUSKOGEE, OK
ZIP 74401
Phone: (918) 682-8631
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JEREMY ROSS MD PLLC is a primary care clinic center in Muskogee, OK. JEREMY ROSS MD PLLC NPI is 1053814160. The provider is registered as an organization entity type.

The provider's business location address is:

333 S 38TH ST STE A
MUSKOGEE, OK
ZIP 74401-937
Phone: (918) 682-8631

The provider's authorized official is Jeremy Michael Ross .
The authorized official title is Owner and has the following contact phone number (918) 682-8631.

The enumeration date for this NPI number is 3/14/2018 and was last updated on 3/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	31424	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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