DR. JOHN RICHARD ROSS (NPI# 1578567251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578567251 |
Entity Type | Individual |
Full Name | DR. JOHN RICHARD ROSS |
Credential | M.D. |
Practice Address |
3000 Saint Matthews Rd Orangeburg SC 29118-1442 |
Mailing Address |
795 Cook Rd Orangeburg SC 29118-2127 |
Practice Telephone | 8033952200 |
Mailing Telephone | (803) 533-7544 |
Mailing Fax Number | 8035337545 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2018-03-17 |
NPI Deactivation Date | 03/15/2006 |
NPI Reactivation Date | 2006-03-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 7709 | SC | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
7709 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 077099 | 05 | |
SC | MEDICARE GROUP PTAN | 7399 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
795 Cook Rd, Orangeburg, SC 291182127 | 8035337544 | 8035337545 |
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 |
1174763072 | John Ross | Technician/Technologist | 520 Eagle Blvd, Kingsland, GA 31548-6569 | 2009-03-05 |
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 |
Street Address |
3000 SAINT MATTHEWS RD |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-1442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831729623 | Edisto Regional Health Services Inc | Clinic/Center | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-21 |
1346870268 | Staccey Bascue | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2020-01-20 |
1376185314 | Courtney L Snell | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-10-10 |
1376193383 | Latosha Larkin Corley | Nurse Practitioner | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-09-12 |
1447724679 | Olando Antonio Singletary | Anesthesiology | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-22 |
1346714847 | Amy Harig | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
1336613843 | Kalyn Collier | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-17 |
1841763786 | Sean Newbry | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-03 |
1912479924 | Kara Charnelle Edmond | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-02 |
1548732522 | Thomas Daniel Martin Jr. | Nurse Anesthetist, Certified Registered | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2019-01-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164496527 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd Ste 320, Orangeburg, SC 29118-8247 | 2006-02-14 |
1023457389 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd, Orangeburg, SC 29118-8201 | 2013-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
1043766017 | Charleston Vascular Surgery, P.C. | Surgery | 1280 Hospital Drive, Suite 302, Charleston Vascular Surgery, P.C., Mount Pleasant, SC 29464-1901 | 2016-08-30 |
1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
1962765081 | Goatee Vascular LLC | Surgery | 4036 River Oaks Dr, Unit B2, Myrtle Beach, SC 29579-6695 | 2012-06-22 |
1518149350 | Thomas Russell Wieters, M.d., P.a. | Surgery | 3070 Highway 17 N, Suite 202, Mount Pleasant, SC 29466-9300 | 2007-12-04 |
1801985007 | Thomas C. Appleby | Surgery | 1327 Ashley River Road, Building B, Charleston, SC 29407 | 2006-10-12 |
1962519546 | Mary Black Health System LLC | Surgery | 1690 Skylyn Dr Ste 350, Spartanburg, SC 29307-1039 | 2006-08-23 |
1164536215 | Sean J Hislop | Surgery | 1327 Ashley River Rd, Charleston, SC 29407-5384 | 2006-08-18 |
1881600963 | Louis F Knoepp IIi | Surgery | 100 Health Way, Suite 1240, Anderson, SC 29621-7917 | 2006-07-31 |
1659321115 | Robert C. Allen | Surgery | 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1824 | 2006-05-12 |
Find all providers with the same taxonomy |
City | ORANGEBURG |
Zip Code | 29118 |
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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.