MR. SCOTT GORDON ROSS (NPI# 1619304060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619304060 |
Entity Type | Individual |
Full Name | MR. SCOTT GORDON ROSS |
Practice Address |
2121 Forest Hollow Way Saint Johns FL 32259-2949 |
Practice Telephone | 9043426844 |
Mailing Telephone | 9043426844 |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171WH0202X |
Contractor Specialization: Home Modifications |
CRC-057575 | FL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144870163 | Scott Ross | Family Medicine | 4201 Pinion Dr, Usaf Academy, CO 80840-4000 | 2019-09-12 |
1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
1720055023 | Scott K Ross | Family Medicine | 4251 Sunset Dr, San Angelo, TX 76904-5653 | 2006-03-06 |
1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
1841290129 | Scott A Ross | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2005-07-28 |
1891328399 | Scott Warren Ross | Behavioral Analyst | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-02-13 |
1376189944 | Scott B Ross | Physician Assistant | 70 Bower Dr, Medford, OR 97501-3689 | 2019-11-19 |
1558845297 | Scott Ross | Military Health Care Provider | 3488 Garden Ave, Anderson Hal M/f-4, San Antonio, TX 78234 | 2018-09-19 |
1487029831 | Scott Allen Ross | Registered Nurse | 9040 Jackson Ave, Madigan Army Medical Center, Tacoma, WA 98431 | 2015-12-10 |
1356749071 | Scott Ross | Counselor | 3320 173rd Pl Ne, Arlington, WA 98223-8712 | 2014-12-11 |
Street Address |
2121 FOREST HOLLOW WAY |
City | SAINT JOHNS |
State | FL |
Zip Code | 32259-2949 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659904571 | Ayla Rose Yarbrough | Chiropractor | 1620 County Road 210, St. Johns County, FL 32259 | 2020-02-19 |
1831731009 | Andrew Dacunha, Dmd, Pa | Dentist | 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 | 2019-10-09 |
1801446257 | Mary Alice Taylor | Counselor | 213 Trapper Trace Ct., St. Johns, FL 32259 | 2019-09-18 |
1609425826 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 | 2019-09-10 |
1518438936 | Yazji Pediatric Care | Pediatrics | 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 | 2018-12-11 |
1003328022 | Abundant Life Health Center LLC | Chiropractor | 254 Everest Lane, St. Johns, FL 32259 | 2017-10-31 |
1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
1366986861 | Taylor Leard | Physician Assistant | 2001 County Rd 210, Suite 101, St. Johns, FL 32259 | 2016-12-19 |
1043760390 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2532 Race Track Rd, Saint Johns, FL 32259 | 2016-10-11 |
1598114233 | Bright Smiles Pediatric Dentistry, Pllc | Dentist | 196 Everest Ln Unit 1, Saint Johns, FL 32259 | 2016-06-03 |
Find all providers in zip 32259 |
Taxonomy Code | 171WH0202X |
Grouping | Other Service Providers |
Classification | Contractor |
Specialization | Home Modifications |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073143905 | D Roberts Construction | Contractor | 2009 Se Madison St, Stuart, FL 34997-5859 | 2020-01-20 |
1619510765 | Lotus Yamna Dinan | Contractor | 14505 Rialto Ave, Brooksville, FL 34613-5050 | 2019-10-22 |
1588211957 | Oac Action Construction Corp. | Contractor | 11980 Sw 144th Ct Ste 101, Miami, FL 33186-8603 | 2019-08-21 |
1780236331 | W. M. Ventures, LLC | Contractor | 1430 Nw 21st St, Homestead, FL 33030-3174 | 2019-07-14 |
1891257697 | Ba Skinner Group Inc. | Contractor | 1575 Aviation Center Pkwy Ste 525, Daytona Beach, FL 32114-3864 | 2019-04-02 |
1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
1952874893 | Yettie Thompkins | Contractor | 414 Lincoln Rd, Cocoa, FL 32926-4147 | 2019-01-03 |
1962998021 | South Florida Home Modification LLC | Contractor | 931 Village Blvd Ste 905-417, West Palm Beach, FL 33409-1803 | 2018-07-02 |
1356836100 | Goodman Services, LLC | Contractor | 2132 22nd Ave S, St Petersburg, FL 33712-3117 | 2018-06-25 |
1710471883 | Alfredo Llop | Contractor | 7976 Nw 114th Path, Medley, FL 33178-2503 | 2018-06-21 |
Find all providers with the same taxonomy |
City | SAINT JOHNS |
Zip Code | 32259 |
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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.