NPIMap

Organization Active NPI

R.W. Ross MD PA

  • Clinic/Center
  • Van Buren, AR
National Provider Identifier
1578855912
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
C4223 Issued in AR
Legal business name
R.W. ROSS MD PA
Practice address
600 Beverly Hills Dr
Van Buren, AR 72956-8393
Phone
(479) 262-2882
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Robert Wendell Ross, MD
Title
Director
Phone
(479) 262-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X C4223 AR Primary

Addresses

Primary practice location

600 Beverly Hills Dr
Van Buren, AR 72956-8393

Mailing address

600 Beverly Hills Dr
Van Buren, AR 72956-8393
Phone (479) 262-2882

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1578855912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HILLS DR",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568393",
            "telephone_number": "479-262-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BEVERLY HILLS DR",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568393",
            "telephone_number": "479-262-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.W. ROSS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-262-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "C4223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.