Individual provider Active NPI

Mark S Ross, DPM

  • Foot & Ankle Surgery Podiatrist
  • Yardley, PA
National Provider Identifier
1285630152
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002100L Issued in PA
Practice address
301 Oxford Valley Rd
Ste 1106a
Yardley, PA 19067-7718
Phone
(215) 493-0222
Fax
(215) 493-7662
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

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
Foot & Ankle Surgery Podiatrist 213ES0103X SC002100L PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Ste 1106a
Yardley, PA 19067-7718

Mailing address

301 Oxford Valley Rd
Ste 1106a
Yardley, PA 19067-7718
Phone (215) 493-0222

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000076 PA Practitioner - Podiatry 2769640671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002100LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark Ross D P M P C Foot & Ankle Surgery CurrentSince Dec 13, 2011 Accepting new patients
J M Podiatry Associates PC Foot & Ankle Surgery PastSince Jul 12, 2017 Accepting new patients

Locations

301 Oxford Valley Rd
Ste 1106A
Yardley, PA 19067
Phone (215) 492-0222

Organizations & group practices 2

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1285630152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "STE 1106A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677718",
            "telephone_number": "215-493-0222",
            "fax_number": "215-493-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "STE 1106A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677718",
            "telephone_number": "215-493-0222",
            "fax_number": "215-493-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002100L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.