Lisa Rene Ross, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

34661 Issued in IA

Practice address

214 14TH Ave SW
Sidney, MT 59270-3521

Phone

(406) 488-2100

Fax

(406) 488-2125

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Obstetrics/Gynecology

Education

Texas a & M University System, HSC, College of Medicine, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sidney Health Center Hospital, Sidney, MT, CCN 271344

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lross7994253@direct.sanfordhealth.org
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1701

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sidney Health Center

  • Skilled Nursing Facility
  • Sidney, MT
  • NPI 1215922513

  Corporate Director

  CMS ownership
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161

  Corporate Director

  CMS ownership
• Sidney Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Sidney, MT
  • NPI 1467537373

  Corporate Director

  CMS ownership
• Sidney Health Center

  • Rural Health Clinic/Center
  • Fairview, MT
  • NPI 1730252883

  Corporate Director

  CMS ownership

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

• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Medicare reassignment NPD
• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Medicare reassignment NPD
• Sidney Health Center

  • Clinic/Center
  • Sidney, MT
  • NPI 1376617191
  Medicare reassignment NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1578536355
  NPD
• Northern Montana Hospital

  • Clinic/Center
  • Havre, MT
  • NPI 1669447967
  NPD
• Sidney Health Center

  • Community/Retail Pharmacy
  • Sidney, MT
  • NPI 1497743959
  NPD
• Sidney Health Center

  • Critical Access Hospital Clinic/Center
  • Sidney, MT
  • NPI 1699845958
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Sidney Health Center

  • Community Based Hospice Care Agency
  • Sidney, MT
  • NPI 1932160413
  NPD (past)
• West Des Moines OB/GYN Associates, P.C.

  • Obstetrics & Gynecology Physician
  • West Des Moines, IA
  • NPI 1326014101
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sidney Health Center

  • Critical Access Hospital
  • Sidney, MT
  • NPI 1285719161
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1831181924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519",
            "telephone_number": "406-488-2577",
            "fax_number": "406-488-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703521",
            "telephone_number": "406-488-2100",
            "fax_number": "406-488-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "middle_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "34661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "122154000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000092716",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0150917",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10978",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lross7994253@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "214 14th Ave SW",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592703521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patte M Redmond, DC
• Jennifer Reid
• Richland Opportunities Incorporated
• River Valley Clinic, PC
• Roger a Anderson O.D. P.C.
• Diane Savage, APRN
• Dennise Marie Schaffner, LAC
• Monte John Schumacher, BS
• George E Scordalakes, MD
• Viola L Scott-Anderson

• Obstetrics & Gynecology Physician in Sidney, MT
• Providers in Sidney, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.