Individual provider Active NPI

Richard Ross, DO

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1316051634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101012958 Issued in MI
Practice address
900 Cooper Street
Saginaw, MI 48602
Phone
(989) 583-6122
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101012958 MI Primary

Addresses

Primary practice location

900 Cooper Street
Saginaw, MI 48602

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2794

Other identifiers 1

IdentifierTypeStateIssuer
4173762MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050914000719 MI Practitioner - Emergency Medicine 0345273934 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012958MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Midland Family Medicine Current Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Mymichigan Medical Center Clare Emergency Medicine CurrentSince Dec 10, 2019 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jun 18, 2017 Accepting new patients
Mymichigan Medical Center Midland Emergency Medicine CurrentSince Jun 18, 2017 Accepting new patients
Covenant Medical Center, Inc. Emergency Medicine CurrentSince Jan 1, 2005 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Dec 10, 2019 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Dec 10, 2019 Accepting new patients
Mymichigan Medical Center Gladwin Emergency Medicine CurrentSince Dec 10, 2019 Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

Interoperability endpoints

  • Direct secure messaging: rross56612@mymichiganhealth.midirect.net

Organizations & group practices 12

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316051634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER STREET",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48602",
            "telephone_number": "989-583-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101012958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173762",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.