Organization Active NPI

Elaine Ross MD PA

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1306869649
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ELAINE ROSS MD PA
Practice address
5501 Alhambra Dr
Orlando, FL 32808-7003
Phone
(407) 295-1294
Fax
(407) 290-1036
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Machelle Bowe
Title
Office Manager
Phone
(407) 295-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5501 Alhambra Dr
Orlando, FL 32808-7003

Mailing address

5501 Alhambra Dr
Orlando, FL 32808-7003
Phone (407) 295-1294

Other identifiers 1

IdentifierTypeStateIssuer
011220100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0934460Dr Elaine Ross MD PA5501 Alhambra Drive, Orlando, FL 32808Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

5501 Alhambra Dr
Orlando, FL 32808
Phone (407) 295-1294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1306869649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 ALHAMBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087003",
            "telephone_number": "407-295-1294",
            "fax_number": "407-290-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 ALHAMBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087003",
            "telephone_number": "407-295-1294",
            "fax_number": "407-290-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE ROSS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "BOWE",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-295-1294"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011220100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.