Mychal Jordan Ross

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP021289 Issued in PA

Practice address

102 Technology Dr Ste 110a
Butler, PA 16001-1784

Phone

(833) 917-0873

Fax

(724) 482-0185

NPI assigned

Oct 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Genesis Medical Associates, Inc.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1205905429
  Medicare reassignment Care Compare group NPD
• BHS Faster Care PLLC

  • Urgent Care Clinic/Center
  • Butler, PA
  • NPI 1316269863
  Medicare reassignment NPD
• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  • Urology Physician
  • Butler, PA
  • NPI 1487129946
  NPD
• Genesis Medical Associates, Inc.

  dba Genesis Medical Laboratory/Genesis Medical Associates

  • Clinical Medical Laboratory
  • Pittsburgh, PA
  • NPI 1730339615
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1245873330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 MCKINLEY ST",
            "city": "HARWICK",
            "state": "PA",
            "postal_code": "150498927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOGY DR STE 110A",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011784",
            "telephone_number": "833-917-0873",
            "fax_number": "724-482-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014780",
            "country_code": "US",
            "telephone_number": "724-282-1530",
            "fax_number": "724-431-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MYCHAL",
        "middle_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Shayne Roman, OD
• Susan Lynn Roop, LPC
• Marcy E Rosen, RPH
• Abigail Rosenbaum, MA, LPC
• Megan Cafferty Ross, DMD
• Jessica Rossman
• Amanda Marie Rosswog, PA-C
• Rotunda Chiropractic Group
• George R Rotunda III, D.C.
• Gregory V Rotunda, D.C.

• Family Nurse Practitioner in Butler, PA
• Providers in Butler, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.