ERIC J EROSS (NPI# 1063574572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063574572 |
| Entity Type | Individual |
| Full Name | ERIC J EROSS |
| Credential | DO |
| Practice Address |
18444 N 25th Ave Suite 210 Phoenix AZ 85023-1261 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 3626 | AZ | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
3626 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
3626 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE NUMBER | 3626 | 01 |
| AZ | 568462 | 05 | |
| DEA | BE7162213 | 01 |
| Street Address |
18444 N 25TH AVE SUITE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023-1261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469336 | Michael Duval | Specialist | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023-1261 | 2005-07-07 |
| 1366931354 | Thomas R Goodine | Orthopaedic Surgery | 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023 | 2018-05-04 |
| 1780122796 | Open Doors Counseling, Coaching and Consulting | Community/Behavioral Health | 18444 N 25th Ave, Suite 420, Phoenix, AZ 85023-1261 | 2017-02-09 |
| 1295272334 | Niloofar Dehghan | Specialist | 18444 N 25th Ave, Ste 320, Phoenix, AZ 85023-1261 | 2017-01-27 |
| 1225589021 | Grayson Halladay | Physician Assistant | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023 | 2016-10-18 |
| 1811343700 | Center for Orthopedic Research and Education, Inc | Durable Medical Equipment & Medical Supplies | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2016-05-10 |
| 1033564042 | Arizona Therapy Associates, LLC | Residential Treatment Facility, Physical Disabilities | 18444 N 25th Ave, Suite 420-712, Phoenix, AZ 85023-1261 | 2016-04-27 |
| 1013390343 | Phillip Veatch | Physician Assistant | 18444 N 25th Ave, 310, Phoenix, AZ 85023-1261 | 2015-07-06 |
| 1639551617 | Raymond Finch | Physical Therapist | 18444 N 25th Ave, Suite 210, Phoenix, AZ 85023-1261 | 2015-06-25 |
| 1619384294 | Elise C Harris | Physical Therapist | 18444 N 25th Ave, Suite 220, Phoenix, AZ 85023-1261 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
| 1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
| 1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
| 1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| Find all providers in zip 85023 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772027 | Alobaidy Neurology Consultants Pllc | Psychiatry & Neurology | 3719 E Louise Dr, Phoenix, AZ 85050-8314 | 2020-05-18 |
| 1619509718 | De Ocampo Medical Partners Pllc | Psychiatry & Neurology | 7500 N Dreamy Draw Dr Ste 133, Phoenix, AZ 85020-4668 | 2020-02-06 |
| 1811539901 | Arizona Neurological Services Pllc | Psychiatry & Neurology | 14001 N 7th St Bldg F1, Phoenix, AZ 85022-4382 | 2019-10-10 |
| 1649751082 | Jennifer Victoria Robblee | Psychiatry & Neurology | 240 W Thomas Rd Fl 4, Phoenix, AZ 85013-4407 | 2018-08-23 |
| 1881116648 | Rem Neuromonitoring Management LLC | Psychiatry & Neurology | 19820 N 7th Ave Ste 230t, Phoenix, AZ 85027-4785 | 2017-07-13 |
| 1629506373 | Rem Neuromonitoring LLC | Psychiatry & Neurology | 20235 N Cave Creek Rd Ste 104-495, Phoenix, AZ 85024-4424 | 2017-05-25 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1417395799 | Alan Wang | Psychiatry & Neurology | 755 E Mcdowell Rd Fl 3, Phoenix, AZ 85006 | 2013-06-10 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.