Organization Active NPI

Charles F. Ross, DPM, PC

  • Primary Podiatric Medicine Podiatrist
  • Pittsfield, MA
National Provider Identifier
1609918283
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1845 Issued in MA
Legal business name
CHARLES F. ROSS, DPM, PC
Practice address
10 2ND St
Pittsfield, MA 01201-6204
Phone
(413) 443-2468
Fax
(413) 499-2768
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Charles Frededrick Ross, D.P.M.
Title
President
Phone
(413) 443-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X 1845 MA Primary

Addresses

Primary practice location

10 2ND St
Pittsfield, MA 01201-6204

Mailing address

10 2ND St
Pittsfield, MA 01201-6204
Phone (413) 443-2468

Other identifiers 2

IdentifierTypeStateIssuer
00414686MedicaidNY
0310824MedicaidMA

National Provider Directory

National Provider Directory

Locations

740 Williams St
Ste G
Pittsfield, MA 01201
Phone (413) 443-2468

10 2nd St
Pittsfield, MA 01201
Phone (413) 443-2468

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1609918283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 2ND ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016204",
            "telephone_number": "413-443-2468",
            "fax_number": "413-499-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 2ND ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016204",
            "telephone_number": "413-443-2468",
            "fax_number": "413-499-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F. ROSS, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FREDEDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-443-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00414686",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310824",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.