Individual provider Active NPI

Jared Lucas Ross, DO

  • Emergency Medicine Physician
  • Huntington, WV
National Provider Identifier
1073817359
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58003740 Issued in OH
Practice address
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone
(304) 526-2200
Fax
(304) 399-1507
NPI assigned
Dec 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2831 WV
Emergency Medicine Physician 207P00000X 58003740 OH Primary

Addresses

Primary practice location

1340 Hal Greer Blvd
Huntington, WV 25701-3804

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 526-2200

Other practice location 1

6400 Poplar Ridge Dr
Flatwoods, KY 41139-2423
Phone (606) 388-4094

Other practice location 2

1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 991-0911

Other identifiers 3

IdentifierTypeStateIssuer
1073817359MedicaidWV
0104186MedicaidOH
7100306960MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jared.ross@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141217001398 WV Practitioner - Emergency Medicine 8527381821 Reassigns benefits to 1 organization
I20250603003500 OH Practitioner - Emergency Medicine 8527381821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58003740OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince May 26, 2025 Accepting new patients
Cabell Huntington Hospital Inc Emergency Medicine CurrentSince Oct 6, 2014 Accepting new patients
Cabell Huntington Hospital Inc Current Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Oct 6, 2014 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 26, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Interoperability endpoints

  • Direct secure messaging: jared.ross@direct.chhi.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1073817359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-526-2200",
            "fax_number": "304-399-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804",
            "telephone_number": "304-526-2200",
            "fax_number": "304-399-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Poplar Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Flatwoods",
            "state": "KY",
            "postal_code": "411392423",
            "country_code": "US",
            "telephone_number": "606-388-4094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Argonne Rd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622827",
            "country_code": "US",
            "telephone_number": "740-991-0911",
            "fax_number": "740-991-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JARED",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-31",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2831",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58003740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073817359",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104186",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100306960",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.ross@direct.chhi.org",
            "affiliation": "N",
            "address_1": "1340 Hal Greer Blvd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.