Jeffrey M Ross, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

87141 Issued in NM

Legal business name

JEFFREY M ROSS, MD, PC

Practice address

1670 Cerro Gordo Rd
Santa Fe, NM 87501-6175

Phone

(505) 988-4349

Fax

(505) 989-7492

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M. Ross, M.D.NPI 1215071766

Title

Owner

Phone

(505) 988-4349

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey M Ross, M.D.

  • Psychiatry Physician
  • Santa Fe, NM
  • NPI 1215071766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1750558003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 CERRO GORDO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016175",
            "telephone_number": "505-988-4349",
            "fax_number": "505-989-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CERRO GORDO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016175",
            "telephone_number": "505-988-4349",
            "fax_number": "505-989-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M ROSS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-988-4349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "87141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215071766",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harriet Jassem, M.S.
• Amir Javid, O.D.
• Jcallaway Therapy
• Michelle Jefferson
• Jeffery B Wheaton DDS MD and Associates LLC
• Theresa Jean Jeffries, LCSW
• Amy Jelliffe, MD
• Steven Arnold Jenison, M.D.
• Adrienne Jenkins, BSN, WHCNP
• Dale CR Jenkins, DDS

• Psychiatry Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.