Active NPI
Ronald Dudley Ross, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Mechanicsburg, PA
National Provider Identifier
1477522563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- MD 039110 L
- Practice address
- 5450 Carlisle Pike BLDG 23a
Mechanicsburg, PA 17050-2411 - Phone
- (717) 655-2755
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD039110L | PA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD 039110 L | PA | Primary |
Addresses
Primary practice location
5450 Carlisle Pike BLDG 23a
Mechanicsburg, PA 17050-2411
Mailing address
517 Montier Rd
Glenside, PA 19038-3327
Phone (215) 882-7990
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 039110 L | PA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| MD039110L | PA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1477522563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 MONTIER RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190383327",
"telephone_number": "215-882-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 CARLISLE PIKE BLDG 23A",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170502411",
"telephone_number": "717-655-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RONALD",
"middle_name": "DUDLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "PA",
"license": "MD039110L",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "PA",
"license": "MD 039110 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.