DR. JONATHAN ROSS M.D. NPI 1194712208

NPI Information

NPI: 1194712208
Provider Name: DR. JONATHAN ROSS, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
6410 ROCKLEDGE DR STE 610
BETHESDA, MD
ZIP 20817
Phone: (301) 530-9745
Get Directions

DR. Jonathan Ross, M.D. is a neurology psychiatry neurology in Bethesda, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jonathan Ross, M.D. NPI is 1194712208. 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:

6410 ROCKLEDGE DR STE 610
BETHESDA, MD
ZIP 20817-844
Phone: (301) 530-9745
Fax: (301) 530-0046

The NPI 1194712208 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 4/14/2021.

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	2084N0400X	Psychiatry & Neurology	Neurology	79897	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	D83244	MARYLAND	Yes
3	2084N0400X	Psychiatry & Neurology	Neurology	10401	NEW HAMPSHIRE	No
4	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	10401	NEW HAMPSHIRE	No
5	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	79897	MASSACHUSETTS	No

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	0101564Y0MA01	OTHER	NEW HAMPSHIRE	ANTHEM
2	05-00403	OTHER	MASSACHUSETTS	EVERCARE
3	30011684	MEDICAID	NEW JERSEY
4	0012343	OTHER	MASSACHUSETTS	NHP
5	11934	OTHER	MASSACHUSETTS	HPHC
6	122760200	MEDICAID	MARYLAND
7	35979	OTHER	MASSACHUSETTS	FCHP
8	079897	OTHER	MASSACHUSETTS	THP
9	3180182	MEDICAID	MASSACHUSETTS
10	3629452-001	OTHER	MASSACHUSETTS	CIGNA
11	J17998	OTHER	MASSACHUSETTS	BCBS
12	05-00217	OTHER	MASSACHUSETTS	UHC
13	7262069	OTHER	MASSACHUSETTS	AETNA

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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