Chadwick B. Ross, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

4329 Issued in OK

Practice address

1900 N 14TH St
Ponca City, OK 74601-2035

Phone

(580) 765-3321

Fax

(580) 765-0597

NPI assigned

Feb 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in OK

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chadwick.ross.1@2424.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ponca City, OK
  • NPI 1194572040
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Healogics Specialty Physicians of Oklahoma, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lawton, OK
  • NPI 1144625740

  Emergency Medicine

  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Ponca City Immediate Care, LLC

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1740837889
  NPD Authorized official
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Integris Bass Baptist Health Center

  dba Integris Health Enid Hospital

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1144236571
  NPD (past)
• Lightstar Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Shawnee, OK
  • NPI 1396736872
  NPD (past)
• Norstar Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Norman, OK
  • NPI 1093709537
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750356861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SW 116TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704461",
            "telephone_number": "405-378-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-3321",
            "fax_number": "580-765-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHADWICK",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tom Rogers, B.S.
• Jamie Roller, MCP, LPC
• Gloria Root
• Sarah Rose
• Cerinaty Ross
• Lila Marie Roughface
• RT Family Discount Pharmacy (Family Discount Pharmacy)
• RT Family Discount Pharmacy Inc. (Family Discount Pharmacy)
• RT Family Discount Pharmacy LTC
• Lyndse Richelle Rust

• Emergency Medicine Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Emergency Medicine Physician in Oklahoma

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.