1952361230 NPI number — HAROLD S ROSS MD

Table of content: DR. ALAN LAWRENCE NIX D.D.S. (NPI 1770633281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952361230 NPI number — HAROLD S ROSS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROSS
Provider First Name:
HAROLD
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952361230
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 ELMWOOD AVE
Provider Second Line Business Mailing Address:
BOX 659
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14642-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-789-4922
Provider Business Mailing Address Fax Number:
315-789-1791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
738 PRE EMPTION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GENEVA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14456-1336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-789-4922
Provider Business Practice Location Address Fax Number:
315-789-1791
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  127211 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363AS0400X , with the licence number: 127211 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 161168030 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 180041066 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7701336 . This is a "MVP SELECT CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "COMMUNITY CARE NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7320096 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7701336 . This is a "DOCTORS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: P010127211 . This is a "EXCELLUS BCBS BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0802 . This is a "HEALTHY NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000912620001 . This is a "HEALTH NOW" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "GROUP HEALTH INCORPORATED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0802 . This is a "EXCELLUS BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "SIDNEY HILLMAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "POMCO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P010127211 . This is a "MONROE PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100751CR . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 161168030 . This is a "UNITED HEALTH CARE EMPIRE" identifier . This identifiers is of the category "OTHER".




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