Blaine M Ross, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

32191 Issued in AZ

Practice address

2735 Silver Creek Road
Bullhead City, AZ 86442

Phone

(928) 763-2273

NPI assigned

Jun 6, 2006

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesiology Medical Services PSC

  • Anesthesiology Physician
  • Owensboro, KY
  • NPI 1144253840
  NPD (past)
• John T Goodsell DO PC Gregory Linderer MD LTD

  dba Anesthesia Associates

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1427000413
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1629018197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95267",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 SILVER CREEK ROAD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-763-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BLAINE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "32191",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "32191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "986789",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00376172",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARIZONA",
            "identifier": "AZ0156280",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rey Plasabas Roferos, AGPCNP-BC
• Matthew James Rohler, PA
• Robert Louis Romano
• Jordan Roseberry, PHARMD
• Steven Lawrence Rosinski, MD, PHD
• Lawrence Mark Rothenberg, M.D.
• Jude Ritheesh Roy, DDS
• Rta Hospice, Inc. (RTA Hospice & Palliative Care - Bullhead City)
• Rta Hospice, LLC
• Rta Hospice, LLC (Hospice Compassus - Bullhead City)

• Anesthesiology Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.