Active NPI
Karnaldo Ross
- Private Vehicle
- East Saint Louis, IL
National Provider Identifier
1235659178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 4150 Bunkum Rd
East Saint Louis, IL 62204-3050 - Phone
- (618) 514-9250
- NPI assigned
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Primary |
Addresses
Primary practice location
4150 Bunkum Rd
East Saint Louis, IL 62204-3050
Mailing address
4150 Bunkum Rd
East Saint Louis, IL 62204-3050
Phone (618) 514-9250
Other names 1
- Sincere Med Service
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235659178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 BUNKUM RD",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622043050",
"telephone_number": "618-514-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 BUNKUM RD",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622043050",
"telephone_number": "618-514-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KARNALDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SINCERE",
"last_name": "SERVICE",
"middle_name": "MED",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in East Saint Louis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.