National Cosmetic Laser Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME38787 Issued in FL

Legal business name

NATIONAL COSMETIC LASER CENTER

Doing business as

National Anesthesia Services

Practice address

1974 Rockledge Blvd Ste 102
Rockledge, FL 32955-3723

Phone

(321) 639-2404

NPI assigned

Aug 30, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Andru Ross, MDNPI 1942380506

Title

Owner

Phone

(321) 505-2069

Specialties & licenses 1

Addresses

Other names 1

• National Anesthesia Services Doing business as

Locations

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.

• Jack A Ross, MD

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1942380506
  NPD (past) Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1215121439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560977",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560977",
            "telephone_number": "321-639-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 ROCKLEDGE BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553723",
            "telephone_number": "321-639-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COSMETIC LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ANDRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-505-2069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME38787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Musselwhite
• Ciara Myers, RCSWI
• Nabil W Aziz MD PA
• Haley Niccole Nail, LCSW
• Eduardo Inacio Nascimento Andrade, M.D
• Mary Elizabeth Nave, ARNP
• Gabriel Ezechukwu Ndukwu, DPT
• Dequanda Nelson, LPN
• Neolink Physicians, PA
• Ada Silvia Nepomuceno

• Anesthesiology Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.