Gary Michael Ross, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME1127 Issued in ME

Practice address

401 S Main St
Brewer, ME 04412-2322

Phone

(207) 989-5588

Fax

(207) 989-1599

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Sunbury Primary Care, P.a.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1639130099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122322",
            "telephone_number": "207-989-5588",
            "fax_number": "207-989-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122322",
            "telephone_number": "207-989-5588",
            "fax_number": "207-989-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ME",
            "license": "ME1127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297030099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Rackliff Risser, DMD
• Rite Aid of Maine Inc
• Daniel James Robbins
• Robin Rie
• Lindsay M Rollins, OTR/L
• Erin L Rowley, LCPC-C
• Bradley Roy, PHARMD
• Emily Roy
• Jens Rueter, MD
• Kathryn E Rush, NP

• General Practice Physician in Brewer, ME
• Providers in Brewer, ME by specialty
• General Practice Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.