Wanda Sawyer Ross, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101036331 Issued in VA

Practice address

152 Burnetts Way
Suffolk, VA 23434-8166

Phone

(757) 539-6217

Fax

(757) 934-8535

NPI assigned

Mar 20, 2007

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1669597613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BURNETTS WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348166",
            "telephone_number": "757-539-6217",
            "fax_number": "757-934-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BURNETTS WAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348166",
            "telephone_number": "757-539-6217",
            "fax_number": "757-934-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "WANDA",
        "middle_name": "SAWYER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101036331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6738290",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Rorie
• Rosa's Way Inc (Independent Living Professional Services)
• Marc J Rosenberg, MD
• Roses Health Solutions LLC
• Katherine Brooke Ross
• Alan Rountree, PSY.D.
• Royalkin Day Support LLC
• Betty Diane Ruffin
• Karen D Rush, MD
• Rhonda Lee Russell, ED.D

• Pediatrics Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.