Thomas Ross

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A1198 Issued in MS

Legal business name

THOMAS ROSS

Doing business as

Southwest Rehabilitation Services

Practice address

605 Poplar St
Tchula, MS 39169

Phone

(662) 235-5685

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Ross, AUDIOLOGISTNPI 1306038567

Title

Owner

Phone

(662) 235-5685

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Rehabilitation Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Ross

  • Audiologist
  • Tchula, MS
  • NPI 1306038567
  NPD (past) Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1447434642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "391690753",
            "telephone_number": "662-235-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 POPLAR ST",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "39169",
            "telephone_number": "662-235-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS ROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-235-5685",
        "authorized_official_credential": "AUDIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A1198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014870",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallory Community Health (Dr. Arenia C. Mallory Community Health Center, Inc.)
• Glenn Daniel Roberts, RPH
• Thomas Ross
• Candice Smith, LCSW
• The Myers Foundation Christian Family Health Centers
• Dealice Nikita Young, RN

• Audiologist in Tchula, MS
• Providers in Tchula, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.