Active NPI
J R Ross
- Urology Physician
- Owensboro, KY
National Provider Identifier
1225084098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 14833
- Practice address
- 1100 Walnut St
Owensboro, KY 42301-2956 - Phone
- (270) 684-9218
- Fax
- (270) 684-0941
- NPI assigned
- May 25, 2006
- Last updated
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 14833 | KY | Primary |
Addresses
Primary practice location
1100 Walnut St
Owensboro, KY 42301-2956
Mailing address
PO Box 1959
Owensboro, KY 42302-1959
Other practice location 1
1215 Old Main St
Hartford, KY 42347-1619
Phone (270) 730-5344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64148331 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Owensboro, KY
- NPI 1679583942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1225084098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1959",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423021959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012956",
"telephone_number": "270-684-9218",
"fax_number": "270-684-0941"
}
],
"practiceLocations": [
{
"address_1": "1215 Old Main St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "KY",
"postal_code": "423471619",
"country_code": "US",
"telephone_number": "270-730-5344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "J",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "14833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64148331",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.