DR. SAMUEL LEE ROSS JR. (NPI# 1710143946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710143946 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL LEE ROSS JR. |
| Credential | MD |
| Practice Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Practice Telephone | 4103623011 |
| Practice Fax Number | 4103623037 |
| Mailing Telephone | 4103623011 |
| Mailing Fax Number | 4103623037 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0066782 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1760941868 | Samuel Warren Ross | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-03-18 |
| 1952805475 | Samuel Foster Ross | Behavior Technician | 2104 Greenbriar Dr, Southlake, TX 76092-8355 | 2018-03-20 |
| 1831640077 | Samuel Ross | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2016-10-24 |
| 1689917486 | Samuel Ross | Internal Medicine | 11301 Wilshire Blvd, Building 218, Room 217, Los Angeles, CA 90073-1003 | 2013-03-29 |
| 1225329816 | Samuel Ross | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2011-04-29 |
| Street Address |
2000 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
| 1538724604 | Oluwatosin A Fanimo | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2019-05-04 |
| 1003382433 | Christina Joy Williamson | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-10-24 |
| 1447768072 | Francine Dorothea Madden | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-01-17 |
| 1407365760 | Kathryn Diana Violette | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-09-29 |
| 1992226872 | Sara Foresman | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-06-30 |
| 1114478559 | Bon Secours Hospital Baltiimore Ind | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-20 |
| 1497205066 | Bon Secours Hospital Baltimore, Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-07 |
| 1831649466 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1558811240 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 1265071278 | Marketing and Medical Services LLC | Family Medicine | 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 | 2019-12-23 |
| 1871134783 | Tysheka Cephas | Family Medicine | 5951 Schering Rd, Baltimore, MD 21206-3144 | 2019-10-02 |
| 1740712330 | Julia Sarah Maria Silva | Family Medicine | 29 S Paca St Dept Of, Baltimore, MD 21201-1771 | 2017-04-01 |
| 1275071375 | Martina P Callum M.d., LLC | Family Medicine | 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 | 2017-02-08 |
| 1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
| 1124370788 | Phung Lieu Levin | Family Medicine | 920 Newington Ave, Baltimore, MD 21217-4631 | 2012-10-08 |
| 1912264441 | Katherine Stolarz | Family Medicine | 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 | 2012-04-22 |
| 1760758684 | Peter Michael Burkill | Family Medicine | 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | 2012-03-25 |
| 1083997860 | Manisha A Sharma | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2011-09-28 |
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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.