MICHAEL A ROSS MD NPI 1124053582

NPI Information

NPI: 1124053582
Provider Name: MICHAEL A ROSS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-1428
Get Directions

Michael A Ross, MD is a diagnostic radiology radiology in Green Bay, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael A Ross, MD NPI is 1124053582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1789 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 499-1428
Fax: (920) 499-5808

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/5/2009.

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	2085R0202X	Radiology	Diagnostic Radiology	32874-020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1018926002	OTHER		UNITED HEALTHCARE MEDICAI
2	300030636	OTHER		RR MEDICARE
3	070050003	MEDICARE ID-TYPE UNSPECIFIED
4	4767230	MEDICAID	MICHIGAN
5	4723997	MEDICAID	MICHIGAN
6	P0026437	MEDICARE OSCAR/CERTIFICATION
7	567565	OTHER		DEAN HEALTH
8	14448	OTHER		DEAN HEALTH
9	F32275	MEDICARE UPIN
10	31799500	MEDICAID	WISCONSIN
11	072730008	MEDICARE ID-TYPE UNSPECIFIED
12	P00028703	MEDICARE OSCAR/CERTIFICATION

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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