Individual provider Active NPI

William Aaron Ross, MD

  • Plastic and Reconstructive Surgery Physician
  • Charleston, WV
National Provider Identifier
1346365418
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME129595 Issued in FL
Practice address
210 Brooks St
Suite 200
Charleston, WV 25301-1855
Phone
(304) 388-1930
Fax
(304) 388-1929
NPI assigned
Mar 20, 2007
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME129595 FL Primary

Addresses

Primary practice location

210 Brooks St
Suite 200
Charleston, WV 25301-1855

Mailing address

1175 Creekside Pkwy
Ste 100
Naples, FL 34108-2068
Phone (239) 594-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180807000418 FL Practitioner - Plastic and Reconstructive Surgery 2961552385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129595FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Surgery Center Inc CurrentSince Jul 1, 2018 Accepting new patients
Chester Physicians Group LLC Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
The Aesthetic Surgery Center PastSince Jul 1, 2018 Accepting new patients

Locations

1175 Creekside Pkwy
Ste 100
Naples, FL 34108
Phone (239) 594-9100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1346365418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CREEKSIDE PKWY",
            "address_2": "STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082068",
            "telephone_number": "239-594-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011855",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WILLIAM",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME129595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.