THERESA ANN ROSS (NPI# 1750355178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750355178 |
| Entity Type | Individual |
| Full Name | THERESA ANN ROSS |
| Practice Address |
11050 Mount Belvedere Blvd Usa Meddac Attn Credentials Fort Drum NY 13602-5438 |
| Mailing Address |
12301 Colby Lake Rd Po Box 568 Laingsburg MI 48848-9313 |
| Practice Telephone | 3157724025 |
| Practice Fax Number | 3157729498 |
| Mailing Telephone | 5172903875 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
4704123246 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235433533 | Theresa Joyce Ross | Nurse Practitioner | 6842 Plum Creek Dr, Amarillo, TX 79124-1601 | 2010-12-29 |
| 1689804445 | Theresa Marie Ross | Physical Therapist | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2009-07-15 |
| 1891842563 | Theresa L. Ross | Psychologist | 777 Hospital Way, Suite G11, Pocatello, ID 83201-5175 | 2007-01-04 |
| 1528072188 | Theresa J Ross | General Practice | 112 Saint John St, Monroe, LA 71201-7322 | 2006-07-28 |
| Street Address |
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN CREDENTIALS |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471932 | Randall Alan Bischoff | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2005-10-19 |
| 1619582657 | Tarah Schmidt | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-09-15 |
| 1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
| 1942836978 | Christie Hurst | Licensed Practical Nurse | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-03-21 |
| 1679033112 | Taylor Nichole Singer | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-03-21 |
| 1134692361 | Drew Curtis Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-01-10 |
| 1457834814 | Timothy Karnuth | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-12 |
| 1598248262 | Oscar Alfredo Garzon | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-10 |
| 1912484684 | Jacob Papenfuss | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-07-25 |
| 1285124644 | Marjorie A Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
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| 1710591292 | Suzanne Soltani | Registered Nurse | 6 Harriet Ct, Sea Cliff, NY 11579-1419 | 2020-09-02 |
| 1790397446 | Chaunte West | Registered Nurse | 98 Spaulding St, Buffalo, NY 14220-1238 | 2020-08-22 |
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1154946663 | Schnell Ewart Fowles | Registered Nurse | 14742 109th Ave, Jamaica, NY 11435-5416 | 2020-06-10 |
| 1295359057 | Amenda Almonte | Registered Nurse | 15804 Sanford Ave Apt 2a, Flushing, NY 11358-2532 | 2020-06-07 |
| 1982228979 | Christine Egeria Mouzakitis | Registered Nurse | 12 Vinton St, North Massapequa, NY 11758-1030 | 2020-06-04 |
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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.