JEREMY ROSS MD PLLC NPI 1053814160

NPI Information

  • NPI: 1053814160
  • Provider Name: JEREMY ROSS MD PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 329 S 38TH ST
    MUSKOGEE, OK
    ZIP 74401
  • Phone: (918) 687-9999

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NPI Details

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:

329 S 38TH ST
MUSKOGEE, OK
ZIP 74401-945
Phone: (918) 687-9999
Fax: (918) 686-7078

The provider's authorized official is Jeremy Michael Ross .
The authorized official title is Owner and has the following contact phone number (918) 687-9999.

The enumeration date for this NPI number is 3/14/2018 and was last updated on 11/19/2025.

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
1261QP2300XClinic/CenterPrimary Care31424OKLAHOMAYes

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: 11/21/2025

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