S David Ross II SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036041875 Issued in IL

Legal business name

S DAVID ROSS II SC

Practice address

2524 Farragut Dr
Springfield, IL 62704-8400

Phone

(217) 726-8820

Fax

(217) 726-6796

NPI assigned

Jul 7, 2006

Last updated

Jan 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S David Ross, MD

Title

President

Phone

(217) 726-8820

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1649202946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048400",
            "telephone_number": "217-726-8820",
            "fax_number": "217-726-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FARRAGUT DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048400",
            "telephone_number": "217-726-8820",
            "fax_number": "217-726-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DAVID ROSS II SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-726-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036041875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041875",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Ryan, M.D.
• Teagan Mary Ryan, PHARMD
• Leonard P Rybak, M.D.
• Allyn Ryder, MSOTRL
• Zachary Ryder, CGC, MS
• Angela Sa-Amar Saab, MD
• Rana Muhammad Saad, MD
• Julie Anna Saal, RBT
• Jonathan Sabath
• Christi A. Sabatka, PT

• Internal Medicine Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.