Active NPI
Charlie P Ross, MD
- Surgery Physician
- Austin, TX
National Provider Identifier
1033117668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D4289
- Practice address
- 2911 Medical Arts St
BLDG 2 Attn: Austin Surgical Clinic Assn
Austin, TX 78705-3376 - Phone
- (512) 478-3402
- Fax
- (512) 478-7114
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D4289 | TX | Primary |
Addresses
Primary practice location
2911 Medical Arts St
BLDG 2 Attn: Austin Surgical Clinic Assn
Austin, TX 78705-3376
Mailing address
2911 Medical Arts St
BLDG 2 Attn: Austin Surgical Clinic Assn
Austin, TX 78705-3376
Phone (512) 478-3402
Other names 1
- Charlie Price Ross III
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4289 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Healthcare | Past | Accepting new patients | |
| Austin Surgical Clinic | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Austin, TX
- NPI 1639177876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033117668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 MEDICAL ARTS ST",
"address_2": "BLDG 2 ATTN: AUSTIN SURGICAL CLINIC ASSN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053376",
"telephone_number": "512-478-3402",
"fax_number": "512-478-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 MEDICAL ARTS ST",
"address_2": "BLDG 2 ATTN: AUSTIN SURGICAL CLINIC ASSN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053376",
"telephone_number": "512-478-3402",
"fax_number": "512-478-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHARLIE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "D4289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLIE",
"last_name": "ROSS",
"middle_name": "PRICE",
"suffix": "III",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.