NPIMap

Organization Active NPI

Shannan C. Ross M.D, Inc.

  • Obstetrics & Gynecology Physician
  • Brunswick, OH
National Provider Identifier
1205019197
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SHANNAN C. ROSS M.D, INC.
Practice address
3724 Center Rd
Ste. 103
Brunswick, OH 44212-4400
Phone
(330) 723-6060
Fax
(330) 723-6462
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Shannan C. Ross, M.D.NPI 1932105632
Title
Owner
Phone
(330) 996-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

3724 Center Rd
Ste. 103
Brunswick, OH 44212-4400

Mailing address

525 E Market St
Spi-Ground Floor
Akron, OH 44304-1619
Phone (330) 996-8798

National Provider Directory

National Provider Directory
Tax ID family
Shannan C Ross MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1205019197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "address_2": "SPI-GROUND FLOOR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-996-8798",
            "fax_number": "330-996-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 CENTER RD",
            "address_2": "STE. 103",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124400",
            "telephone_number": "330-723-6060",
            "fax_number": "330-723-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNAN C. ROSS M.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-996-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.