Individual provider Active NPI

Steven L Ross, D.O.

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1629077466
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6563 Issued in TX
Practice address
975 Hilltop Dr Ste 200
Weatherford, TX 76086-5894
Phone
(817) 598-0784
Fax
(817) 598-0788
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H6563 TX Primary

Addresses

Primary practice location

975 Hilltop Dr Ste 200
Weatherford, TX 76086-5894

Mailing address

975 Hilltop Dr Ste 200
Weatherford, TX 76086-5894
Phone (817) 598-0784

Other identifiers 4

IdentifierTypeStateIssuer
4387541OtherTXAETNA PROVIDER NUMBER
00F35ROtherTXBLUE CROSS ID
1336208-01MedicaidTX
133620801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000871 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3375446024 Practice locations: Weatherford, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

975 Hilltop Dr
Suite 200
Weatherford, TX 76086-5894
Phone (817) 598-0784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H6563TXMDFamily Medicine Physician

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1629077466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HILLTOP DR STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865894",
            "telephone_number": "817-598-0784",
            "fax_number": "817-598-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HILLTOP DR STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865894",
            "telephone_number": "817-598-0784",
            "fax_number": "817-598-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4387541",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "00F35R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336208-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133620801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.