Active NPI
Ross Rehabilitation P.C.
- Physical Medicine & Rehabilitation Physician
- Albuquerque, NM
National Provider Identifier
1104057736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 93-377
- Legal business name
- ROSS REHABILITATION P.C.
- Practice address
- 7301 Jefferson St NE
Suite E
Albuquerque, NM 87109 - Phone
- (505) 341-0000
- Fax
- (505) 341-1495
- NPI assigned
- Jul 30, 2009
- Organization subpart
- Yes
- Parent organization
- ROSS REHABILITATION P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barrie Weiner Ross, MD
- Title
- Owner/President
- Phone
- (505) 341-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 93-377 | NM | Primary |
Addresses
Primary practice location
7301 Jefferson St NE
Suite E
Albuquerque, NM 87109
Mailing address
7301 Jefferson St NE
Suite E
Albuquerque, NM 87109
Phone (505) 341-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06925 | Medicaid | NM |
National Provider Directory
National Provider Directory- Part of
- Ross Rehabilitation PC
Locations
7301 Jefferson St NE
Ste E
Albuquerque, NM 87109
Phone (505) 341-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Albuquerque, NM
- NPI 1649343872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1104057736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 JEFFERSON ST NE",
"address_2": "SUITE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-341-0000",
"fax_number": "505-341-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 JEFFERSON ST NE",
"address_2": "SUITE E",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-341-0000",
"fax_number": "505-341-1495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS REHABILITATION P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROSS REHABILITATION P.C.",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "BARRIE",
"authorized_official_middle_name": "WEINER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "505-341-0000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NM",
"license": "93-377",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06925",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.