Active NPI
Ronald Wines Ross, ATC
- Athletic Trainer
- West Mifflin, PA
National Provider Identifier
1689706269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT000703A
- Practice address
- 91 Commonwealth Ave
West Mifflin, PA 15122-2310 - Phone
- (412) 466-4859
- NPI assigned
- Mar 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT000703A | PA | Primary |
Addresses
Primary practice location
91 Commonwealth Ave
West Mifflin, PA 15122-2310
Mailing address
179 Ross Rd
Canonsburg, PA 15317-4851
Phone (724) 941-6838
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT000703A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689706269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 ROSS RD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153174851",
"telephone_number": "724-941-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 COMMONWEALTH AVE",
"city": "WEST MIFFLIN",
"state": "PA",
"postal_code": "151222310",
"telephone_number": "412-466-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RONALD",
"middle_name": "WINES",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT000703A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Mifflin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.