Nicholas Guy Ross, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS17369 Issued in FL

Practice address

4401 Cortez Rd W
Bradenton, FL 34210-3142

Phone

(941) 357-5550

Fax

(941) 792-7152

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MS2 enrollments

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 2

Specialty

Internal Medicine

Education

Lake Erie College of Osteopathic Medicine, Bradenton, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• North Mississippi Medical Center-Gilmore Amory Hospital, Amory, MS, CCN 250025
• Pontotoc Health Service Inc Cah Hospital, Pontotoc, MS, CCN 251308
• Tishomingo Health Services Inc Hospital, Iuka, MS, CCN 250002
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment NPD
• Florida Medical Specialists

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1417204074
  NPD
• Florida Medical Specialists LLC

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• North Mississippi Medcial Center, Inc.

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1467948687
  NPD
• North Mississippi Medcial Center, Inc.

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• Florida Medical Specialists LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)
• North Mississippi Medical Center Inc.

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1609243351
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clay County Medical Corporation

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• Monroe Health Services, Inc.

  • General Acute Care Hospital
  • Amory, MS
  • NPI 1164993457
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation
• Pontotoc Health Services, Inc.

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Care Compare affiliation
• Tishomingo Health Services, Inc.

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  Care Compare affiliation

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1396240040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103142",
            "telephone_number": "941-357-5550",
            "fax_number": "941-792-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103142",
            "telephone_number": "941-357-5550",
            "fax_number": "941-792-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "NICHOLAS",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosenkrans Physical Therapy
• Mark Lee Rosenthal, M.D.
• Zoe Ross-Nash
• Hannah Ross
• Kimberly Ross, DCN, CNS, CDN, LDN
• Pamela Susan Ross
• Alex Roth, DO
• Caroline M. Roth, APRN
• Diana Elizabeth Rothauser, P.T.
• Jeffrey M Rothfeld, M.D.

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.