Fred H Ross, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 44955 Issued in FL

Legal business name

FRED H ROSS, M.D.

Practice address

1612 W Plaza Dr
Tallahassee, FL 32308-5324

Phone

(850) 878-8509

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fred Henry Ross, M.D.NPI 1598752982

Title

Owner

Phone

(850) 878-8509

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Fred Henry Ross, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1598752982
  NPD (past) Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1184169112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-878-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-878-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED H ROSS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-878-8509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 44955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "20066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Johnston Fraser, A.R.N.P.
• Meghan Elizabeth Frasier
• David Wayne Frasure, DC
• Thomas Frauenhofer, DO
• Kevin Gregory Frazer, M.D.
• Jessi Ann Freed, LMT
• Tristan Adam Freels
• Annette Karen Freeman, LCSW
• Bertrona Freeman, LPC
• Jeanne S Freeman, MSP, MSW

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.