Individual provider Active NPI

Judy D Ross, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1245226315
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD417419 Issued in PA
Practice address
1050 Bower Hill Rd
205
Pittsburgh, PA 15243-1800
Phone
(412) 572-6184
Fax
(412) 572-6586
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD417419 PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd
205
Pittsburgh, PA 15243-1800

Mailing address

1050 Bower Hill Rd
205
Pittsburgh, PA 15243-1800
Phone (412) 572-6184

Other identifiers 1

IdentifierTypeStateIssuer
0018645520001MedicaidPA

Other names 1

  • Dr. Judy D Ross Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000085 PA Practitioner - General Surgery 0143233197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Specialists of Pennsylvania, LLC CurrentSince Sep 18, 2017 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1000 Higbee Dr
Bethel Park, PA 15102
Phone 4128336176120

575 Coal Valley Rd
Jefferson Hills, PA 15025
Phone (412) 469-5715

575 Coal Valley Rd
Ste 207
Jefferson Hls, PA 15025
Phone (412) 469-7676

600 Commerce Blvd
Fl 2
Stroudsburg, PA 18360
Phone (570) 426-6810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1245226315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD",
            "address_2": "205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431800",
            "telephone_number": "412-572-6184",
            "fax_number": "412-572-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD",
            "address_2": "205",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431800",
            "telephone_number": "412-572-6184",
            "fax_number": "412-572-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JUDY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD417419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018645520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "ROSS",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.