DR. MARK TIMOTHY ROSS (NPI# 1710250253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710250253 |
| Entity Type | Individual |
| Full Name | DR. MARK TIMOTHY ROSS |
| Credential | M.D. |
| Practice Address |
3737 N 970 E Provo UT 84604-5247 |
| Practice Telephone | 8013605774 |
| Practice Fax Number | 8012262669 |
| Mailing Telephone | 8013605774 |
| Mailing Fax Number | 8012262669 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 177939-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013438647 | Mark A Ross | Case Manager/Care Coordinator | 4528 Telegraph Rd, Ventura, CA 93003 | 2017-07-05 |
| 1205200490 | Mark Ross | Counselor | 5408 N 40th St, Milwaukee, WI 53209-4618 | 2015-11-25 |
| 1134266752 | Mark Anthony Ross I | Pharmacist | 5170 Route 60 East, Auite 2800, Huntington, WV 25705 | 2007-01-31 |
| 1659423655 | Mark I. Ross | Optometrist | 490 Coventry Ln Ste 201, Crystal Lake, IL 60014-7548 | 2007-01-18 |
| 1104850577 | Mark Ross | Chiropractor | 129 C St, Suite 1, Davis, CA 95616-4632 | 2006-07-10 |
| 1568434934 | Mark Collins Ross | Dentist | 922 Rolling Acres Road, Suite 2, Lady Lake, FL 32159 | 2006-02-01 |
| 1285630152 | Mark S Ross | Podiatrist | 301 Oxford Valley Rd, Ste 1106a, Yardley, PA 19067-7718 | 2005-06-24 |
| 1083176127 | Mark Griff Ross | Counselor | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2019-04-05 |
| 1164835641 | Mark E Ross | Pharmacist | 7700 N Alger Rd, Alma, MI 48801-9320 | 2014-06-03 |
| 1225465040 | Mark Edward Ross | Counselor | 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018 | 2013-10-11 |
| Street Address |
3737 N 970 E |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
| 1750840054 | Jonathon Lee Gross | Family Medicine | 395 W Cougar Blvd Ste 205, Provo, UT 84604-3328 | 2019-03-16 |
| 1275099897 | Optimal Health Family Practice Pllc | Family Medicine | 75 S 200 E Ste 100, Provo, UT 84606-3146 | 2019-02-19 |
| 1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1790198141 | Micia Roby | Family Medicine | 1055 N 500 W Building A, Provo, UT 84604 | 2014-06-03 |
| 1295171874 | Angel Kae Lybbert | Family Medicine | 395 W. Bulldog Blvd. Suite 6b, Provo, UT 84604 | 2013-05-22 |
| 1912267212 | Ihc Health Services Inc | Family Medicine | 1401 E 2000 S, Provo, UT 84606-2072 | 2012-05-21 |
| 1639497191 | John Frederic Templeman | Family Medicine | 4728 Mile High Dr, Provo, UT 84604-5318 | 2010-05-08 |
| 1386977171 | Wendy Jade Payne | Family Medicine | 4907 North 300 West, Provo, UT 84604 | 2009-09-10 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on DR. MARK TIMOTHY 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.