Timothy T Ross MD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

MD00019932 Issued in WA

Legal business name

TIMOTHY T ROSS MD

Practice address

715 S Andresen Rd
Vancouver, WA 98661-7603

Phone

(360) 693-7877

Fax

(360) 750-6900

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Todd Ross, M.D.

Title

Owner

Phone

(360) 254-3663

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NW GERIATRIC CONSULTANTS INC Other name

Locations

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1053594697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NE 76TH ST STE A3",
            "address_2": "PMB 7",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623901",
            "telephone_number": "360-254-3663",
            "fax_number": "360-254-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S ANDRESEN RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986617603",
            "telephone_number": "360-693-7877",
            "fax_number": "360-750-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY T ROSS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-254-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "MD00019932",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "MD12417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7034572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW GERIATRIC CONSULTANTS INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.