Thomas Ross
Individual provider Active NPI Audiologist · Tchula, MS
NPI 1306038567 · NPPES record last updated Aug 13, 2007
Key facts
- NPI
- 1306038567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A1198 (MS)
- Practice address
- 605 Poplar St.
Tchula, MS 39169 - Phone
- (662) 235-5685
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1198 | MS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Ross | Audiologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A1198 | MS | Yes |
Addresses
Primary practice location
605 Poplar St.
Tchula, MS 39169
Mailing address
PO Box 753
Tchula, MS 39169-0753
Phone (662) 235-5685
Other providers in Tchula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.