Jeremy Ross MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

31424 Issued in OK

Legal business name

JEREMY ROSS MD PLLC

Practice address

329 S 38TH St
Muskogee, OK 74401-4945

Phone

(918) 687-9999

Fax

(918) 686-7078

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Michael Ross, MDNPI 1063890697

Title

Owner

Phone

(918) 687-9999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jeremy Michael Ross, M.D.

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1063890697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053814160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014945",
            "telephone_number": "918-687-9999",
            "fax_number": "918-686-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014945",
            "telephone_number": "918-687-9999",
            "fax_number": "918-686-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY ROSS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-687-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "31424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Jefferson, MSED
• Beth Marie Jeffries, PHD
• Cali Jenkins
• Vernon Lee Jenkins, D.O.
• Casi Jennings
• Amy Jim, RRT
• Jimmy Keith Ogden DC PC (OakDen Family Medical)
• John V Tedesco DO PA
• Dusti Dawn Johns, MSW, LCSW
• Jacqueline Annette Johns

• Primary Care Clinic/Center in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.