Pamela Ross, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104169 Issued in FL

Practice address

802 Dunlawton Ave
Institute for Wellbeing Suite 102
Port Orange, FL 32127-4931

Phone

(386) 763-2338

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• The Institute for Wellbeing LLC

  • Medical Physician Assistant
  • Port Orange, FL
  • NPI 1609011501
  NPD (past) Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1124202734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280C S ATLANTIC AVE # 48",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186247",
            "telephone_number": "386-341-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DUNLAWTON AVE",
            "address_2": "INSTITUTE FOR WELLBEING SUITE 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274931",
            "telephone_number": "386-763-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PAMELA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahaira Lee Roman, D.C
• Kathleen Ann Rooney, DC
• Maria C Roque, ARNP
• Ron Rosenberg, MD
• Amanda Kimberly Roskey, PA-C
• Lisa Rossi Whalen
• Maureen Adams Rothrock
• Olivia Roudebush
• Annabel E Rowan
• Jerica Rowley, RBT

• Medical Physician Assistant in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.