MR. JOHN ROSS (NPI# 1174763072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174763072 |
Entity Type | Individual |
Full Name | MR. JOHN ROSS |
Credential | LDO |
Practice Address |
520 Eagle Blvd Kingsland GA 31548-6569 |
Practice Telephone | 8437095271 |
Enumeration Date | 2009-03-05 |
Last Update Date | 2009-03-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO002127 | GA | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356736854 | John Williams Ross | Family Medicine | 1492 Tiny Town Rd Ste A1-a2, Clarksville, TN 37042-7873 | 2015-04-01 |
1588943476 | John Nathan Ross | Acupuncturist | 285 Bank Street, # A, Wellfleet, MA 02667 | 2011-08-09 |
1366735193 | John P Ross | Social Worker | 105 Harvey Sanford Rd, Collins, MS 39428-4815 | 2011-05-26 |
1932428109 | John Alan Ross | Specialist/Technologist, Other | 9905 N Willow Ave, Kansas City, MO 64157-1046 | 2010-05-26 |
1063654366 | John Paul Ross | Community Health Worker | 8520 Heather Dr., Zephyrhills, FL 33540 | 2009-04-01 |
1245409085 | John Wayne Ross | Pathology | 11552 Big Canoe, 3017 Wild Turkey Bluff, Big Canoe, GA 30143-5114 | 2008-02-26 |
1659556223 | John Phillip Ross | Chiropractor | 13102 Liberty Ave, South Richmond Hill, NY 11419-3124 | 2008-01-02 |
1578757647 | John Michael Ross | Social Worker | 1900 Scio Church Rd, Ann Arbor, MI 48103-6059 | 2007-08-31 |
1023145356 | John E. Ross IIi | Dentist | 602 College Ave Ste 1, Clemson, SC 29631-2823 | 2007-02-27 |
1114066396 | John Williams Ross | Dentist | 3721 Olive Street, Pine Bluff, AR 71603 | 2007-02-05 |
Street Address |
520 EAGLE BLVD |
City | KINGSLAND |
State | GA |
Zip Code | 31548-6569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
Find all providers in zip 31548 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
Find all providers with the same taxonomy |
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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.