Individual provider Active NPI

Raymond Ross, R.T.(R)(CT)(MR)(ARRT

  • Radiography Radiologic Technologist
  • Chesapeake, VA
National Provider Identifier
1396344859
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
510394 Issued in VA
Practice address
1325 Oleander Ave
Chesapeake, VA 23325-3745
Phone
(757) 401-5851
NPI assigned
Oct 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 510394 VA Primary
Computed Tomography Radiologic Technologist 2471C3401X 510394 VA
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 510394 VA
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 510394 VA

Addresses

Primary practice location

1325 Oleander Ave
Chesapeake, VA 23325-3745

Mailing address

1325 Oleander Ave
Chesapeake, VA 23325-3745
Phone (757) 401-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
510394VAMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Diagnostic Imaging Medical Center LLC Computed Tomography CurrentSince Nov 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1396344859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 OLEANDER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253745",
            "telephone_number": "757-401-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 OLEANDER AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253745",
            "telephone_number": "757-401-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RAYMOND",
        "credential": "R.T.(R)(CT)(MR)(ARRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "VA",
            "license": "510394",
            "primary": true
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "VA",
            "license": "510394",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "VA",
            "license": "510394",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "VA",
            "license": "510394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.