John R. Ross, M.D.,P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

7709 Issued in SC

Legal business name

JOHN R. ROSS, M.D.,P.A.

Practice address

795 Cook Rd
Orangeburg, SC 29118-2127

Phone

(803) 533-7544

Fax

(803) 533-7545

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Pamela B Lyons

Title

Office Manager

Phone

(803) 533-7544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1063567436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182127",
            "telephone_number": "803-533-7544",
            "fax_number": "803-533-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182127",
            "telephone_number": "803-533-7544",
            "fax_number": "803-533-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. ROSS, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-533-7544"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "7709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077099",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.