Marvin E Ross (NPI# 1346221231, PAC ID# 9133295157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1346221231 |
PAC ID by PECOS | 9133295157 |
Professional Enrollment ID | I20080827000461 |
Full Name | Marvin E Ross |
Organization Legal Name | JEFFERSON MEDICAL GROUP |
Address |
1502 N Jefferson St Carrollton MO 64633-1948 |
Phone Number | 6605421695 |
Gender | M |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1975 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
Group Practice PAC ID | 6800894379 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261332 | CARROLL COUNTY MEMORIAL HOSPITAL |
260177 | NEW LIBERTY HOSPITAL DISTRICT |
Address | Phone | Organization |
---|---|---|
1502 N Jefferson St, Carrollton, MO 64633-1948 | 6605421695 | JEFFERSON MEDICAL GROUP |
Organization Legal Name | JEFFERSON MEDICAL GROUP |
Physicians | 1 |
Street Address |
1502 N JEFFERSON ST |
City | CARROLLTON |
State | MO |
Zip | 64633-1948 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan P Horwitz | Gastroenterology | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Pamela L Ralls | Family Medicine | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
John P Eggers | Orthopedic Surgery | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Yan Chen | Gastroenterology | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Paul C Cowan | Orthopedic Surgery | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Joanie Defibaugh | Clinical Social Worker | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Erin E Finkeldei | Nurse Practitioner | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
John C Ellis | Otolaryngology | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Ryan P Frank | Podiatry | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Thomas J Shireman | Gastroenterology | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard L Newcomb | Optometry | 1411 N Jefferson, Carrollton, MO 64633-1945 | |
Dennis L Hunter | Optometry | 1411 N Jefferson, Carrollton, MO 64633-1945 | |
Jonna H Rechterman | Nurse Practitioner | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Andrew Douglas Horine | Family Medicine | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Thomas F Jones | Gastroenterology | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
James Frederick Foster Iii | Vascular Surgery | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Timothy N Reid | Family Medicine | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Tanya W Land | Nurse Practitioner | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Richard L Smith | Family Medicine | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Kristin L Parkinson | Psychiatry | Carroll County Memorial Hospital | 1502 N Jefferson St, Carrollton, MO 64633-1948 |
Find all physicians in zip 64633 |
City | CARROLLTON |
Zip Code | 64633 |
Specialty | FAMILY MEDICINE |
City + Specialty | CARROLLTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marvin E Ross.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.