CHARLES J ROSS (NPI# 1699919795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699919795 |
| Entity Type | Individual |
| Full Name | CHARLES J ROSS |
| Credential | IDMT |
| Practice Address |
5809 Ivanhoe Ct Apt 18 Fayetteville NC 28314-4461 |
| Practice Telephone | 2533817108 |
| Mailing Telephone | 2533817108 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225156102 | Charles Albert Ross | Dentist | 3706 Mercer University Drive, Suite 7 Mission Square, Macon, GA 31204 | 2007-03-27 |
| 1619046729 | Charles Ross | Family Medicine | 726 S Cockrell Hill Rd, Duncanville, TX 75137-2620 | 2006-11-06 |
| 1588742480 | Charles Stephen Ross | Dentist | 1031 Little E Neck Rd, W Babylon, NY 11704-2403 | 2006-11-01 |
| 1326044330 | Charles B. Ross | Surgery | 95 Collier Road, Suite 5015, Atlanta, GA 30309 | 2005-06-23 |
| 1255715918 | Charles Ross | Psychologist | 2115 W Park Dr, Lorain, OH 44053-1138 | 2015-07-13 |
| 1144634866 | Charles Ross Jr. | Counselor | 7310 Woodward Ave, Suite 601, Detroit, MI 48202-3165 | 2014-06-20 |
| 1982046538 | Charles Tyler Ross | Pharmacist | 1600 N Main St, Tarboro, NC 27886-2522 | 2013-07-24 |
| 1306005137 | Charles Aaron Ross | Family Medicine | 1335 E Center St, Suite 1, Kingsport, TN 37664-2489 | 2008-06-06 |
| 1972710283 | Charles William Ross | Family Medicine | 97 W Parkway, Pompton Plains, NJ 07444-1647 | 2007-05-17 |
| 1619095882 | Charles James Ross Jr. | Pharmacist | 3705 5th Ave, Pittsburgh, PA 15213-2584 | 2007-03-27 |
| Street Address |
5809 IVANHOE CT APT 18 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962637504 | Christopher Michael Lohr | Military Health Care Provider | 102 Partridge Rd, Fayetteville, NC 28306-8235 | 2009-05-27 |
| 1417191974 | Erik William Rodriguez | Military Health Care Provider | 106 Purple Martin Pl, Fayetteville, NC 28306-8262 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1225425655 | Justin Wells | Military Health Care Provider | 1398 Surveyor St, Pope Army Airfield, NC 28308-2710 | 2015-04-23 |
| 1912267295 | Amber Lynn Scouton | Military Health Care Provider | 215 Bolling Dr, Goldsboro, NC 27534-5527 | 2012-05-21 |
| 1750662417 | Daryl Bradley | Military Health Care Provider | 146 Tulane Dr, Raeford, NC 28376 | 2011-09-07 |
| 1811211642 | Leasa C Novotny | Military Health Care Provider | 271 Sheridan Forest Rd Apt 1200, Goldsboro, NC 27534-7155 | 2010-03-23 |
| 1467784926 | James Blake Little | Military Health Care Provider | 300 Meadow Rd, Goldsboro, NC 27534-8759 | 2010-02-09 |
| 1710116595 | Patrick Joseph Hunt | Military Health Care Provider | 1 Matero Dr, Ol-c 342trs, Pope, NC 28308 | 2009-07-14 |
| 1184850760 | Jose Victor Nazario | Military Health Care Provider | 628 Ed Moye Rd, La Grange, NC 28551-8888 | 2009-06-09 |
| 1194932673 | Thomas Harrison Gentry IIi | Military Health Care Provider | 110 Fieldcrest Dr, Jacksonville, NC 28546-9673 | 2007-05-16 |
| 1528044872 | Tina M Starling | Military Health Care Provider | U.S. Coast Guard, Support Center Medical, Elizabeth City, NC 27909 | 2005-12-19 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on CHARLES J ROSS.
| 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.