Diane E Ross MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

09562 Issued in MS

Legal business name

DIANE E ROSS MD PA

Practice address

2160 E Pass Road
Suite D
Gulfport, MS 39507-3801

Phone

(228) 896-3317

Fax

(228) 896-3314

NPI assigned

Mar 26, 2008

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane E Ross, MDNPI 1447323001

Title

President

Phone

(228) 896-3317

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Ellen Ross, M.D.

  • Neurology Physician
  • Gulfport, MS
  • NPI 1447323001
  Authorized official Same address or phone

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1033381348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 E PASS ROAD",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073801",
            "telephone_number": "228-896-3317",
            "fax_number": "228-896-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E PASS ROAD",
            "address_2": "SUITE D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073801",
            "telephone_number": "228-896-3317",
            "fax_number": "228-896-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE E ROSS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-896-3317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "09562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01121509",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joshua Dibble
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• Neurology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.