Active NPI
Erik Ross
- Neurology Physician
- Dayton, OH
National Provider Identifier
1639532716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.142840
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1815 - Phone
- (937) 641-4000
- Fax
- (937) 641-4500
- NPI assigned
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35.142840 | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1815
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
Other practice location 1
967 Bellefontaine Ave
Lima, OH 45804-2888
Phone (937) 641-4000
Other practice location 2
1644 N Limestone St
Springfield, OH 45503-2652
Phone (937) 641-4000
Other practice location 3
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-4000
Other practice location 4
865 W Market St
Troy, OH 45373-3837
Phone (937) 641-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0491426 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1639532716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500"
}
],
"practiceLocations": [
{
"address_1": "967 Bellefontaine Ave",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458042888",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1644 N Limestone St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OH",
"postal_code": "455032652",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-464-1450",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "865 W Market St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "OH",
"postal_code": "453733837",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-641-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "ERIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-05",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.142840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0491426",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.