Individual provider Active NPI

Joseph Guard Ross, MD

  • Radiation Oncology Physician
  • Fayetteville, AR
National Provider Identifier
1790758761
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C 5667 Issued in AR
Practice address
60 E Monte Painter Drive
Fayetteville, AR 72703-4005
Phone
(479) 348-7170
Fax
(479) 587-1366
NPI assigned
Feb 9, 2006
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X C 5667 AR Primary

Addresses

Primary practice location

60 E Monte Painter Drive
Fayetteville, AR 72703-4005

Mailing address

3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 587-1700

Other identifiers 3

IdentifierTypeStateIssuer
920005088MedicaidAR
100074280 AMedicaidOK
1790758761MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20080731000357 AR Practitioner - Radiation Oncology 3173697638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Arkansas College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

3232 N Northhills Blvd
Fayetteville, AR 72703-4005

639 Hospital Dr
Mountain Home, AR 72653-2914
Phone (479) 587-1700

808 S 52ND St
Rogers, AR 72758-8602
Phone (479) 936-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C 5667ARMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group PA Radiation Oncology CurrentSince Apr 1, 2008 Accepting new patients
Highlands Oncology Group, PA CurrentSince Apr 1, 2008 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 9, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 9, 2021 Accepting new patients
Northwest Arkansas Radiation Therapy Institute Past Accepting new patients
Ozark Radiation Oncology Radiation Oncology Past Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

60 E Monte Painter Dr
Fayetteville, AR 72703
Phone (479) 348-7170

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1790758761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-587-1700",
            "fax_number": "479-487-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E MONTE PAINTER DRIVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-348-7170",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JOSEPH",
        "middle_name": "GUARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "C 5667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920005088",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074280 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790758761",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.