Organization Active NPI

John K Ross, MD PC

  • Specialist
  • Madras, OR
National Provider Identifier
1023349313
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35733 Issued in OR
Legal business name
JOHN K ROSS, MD PC
Practice address
910 SW Highway 97
Suite 104
Madras, OR 97741-9247
Phone
(541) 475-1193
Fax
(541) 475-1195
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John K Ross, MD
Title
Owner
Phone
(541) 504-7781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35733 OR Primary

Addresses

Primary practice location

910 SW Highway 97
Suite 104
Madras, OR 97741-9247

Mailing address

910 SW Highway 97
Suite 104
Madras, OR 97741-9247
Phone (541) 475-1193

National Provider Directory

National Provider Directory

Locations

617 SW Cascade Ave
Redmond, OR 97756
Phone (541) 504-7781

336 SW Black Butte Blvd
Redmond, OR 97756
Phone (541) 504-7781

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1023349313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW HIGHWAY 97",
            "address_2": "SUITE 104",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419247",
            "telephone_number": "541-475-1193",
            "fax_number": "541-475-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW HIGHWAY 97",
            "address_2": "SUITE 104",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977419247",
            "telephone_number": "541-475-1193",
            "fax_number": "541-475-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K ROSS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-504-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "35733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.