Jonathan Michael Ross, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301048417 Issued in MI

Practice address

215 E Mansion St
Suite 3a
Marshall, MI 49068-1559

Phone

(269) 789-0025

Fax

(269) 789-0445

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467
  NPD (past)
• Ella E M Brown Charitable Circle

  • Certified Registered Nurse Anesthetist
  • Marshall, MI
  • NPI 1174672521
  NPD (past)
• Urvish K Shah, MD PC

  • Gastroenterology Physician
  • Lansing, MI
  • NPI 1770623183
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1356479810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST",
            "address_2": "SUITE 3A",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681559",
            "telephone_number": "269-789-0025",
            "fax_number": "269-789-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST",
            "address_2": "SUITE 3A",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681559",
            "telephone_number": "269-789-0025",
            "fax_number": "269-789-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301048417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4509502",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Michigan Inc
• Clark Anton Rizzardi, PA-C
• Angela Louise Robin, DPM
• Erin Rockwell, D.O.
• Katherine Rogers, PTA
• Lauri Rowe
• Bradley James Runyon, O.D.
• Rachel Saeger, FNP
• Mahboobeh Saifiabolhassan
• Tarek Saleh, M.D

• Gastroenterology Physician in Marshall, MI
• Providers in Marshall, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.