Jack a Ross

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800022292 Issued in FL

Legal business name

JACK A ROSS

Doing business as

PATHOLOGY SERVICES INC

Practice address

770 Cidco Rd
Cocoa, FL 32926-5814

Phone

(321) 636-7766

Fax

(321) 636-0240

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tina M Hileman

Title

Office Manager

Phone

(321) 505-2069

Specialties & licenses 1

Addresses

Other names 1

• PATHOLOGY SERVICES INC Doing business as

Locations

Practitioners 1

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

• Jack A Ross, MD

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1942380506
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1760669279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560977",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329560977",
            "telephone_number": "321-639-2404",
            "fax_number": "321-635-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CIDCO RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265814",
            "telephone_number": "321-636-7766",
            "fax_number": "321-636-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK A ROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HILEMAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-505-2069",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800022292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHOLOGY SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indian River Nutrition Services LLC
• Inscape Health Group LLC
• Island Equanimity LLC
• Yifat Israeli, MSW, ISW9200
• J.Dieter Burr, DMD PA
• Jennifer Marie Jackson, L.M.T.
• Jean Jacobson, MA, RMHCI
• Jade Mental Health and Wellness, PLLC
• Taylor Jahnke
• Tarun Jain, MD

• Clinical Medical Laboratory in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.