Ross Medical Supply Company, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203.000088 Issued in IL

Legal business name

ROSS MEDICAL SUPPLY COMPANY, INC.

Practice address

1161 E Kimberly Rd
Davenport, IA 52807-1769

Phone

(563) 386-9220

Fax

(563) 386-0946

NPI assigned

Mar 11, 2011

Organization subpart

Yes

Parent organization

ROSS MEDICAL SUPPLY COMPANY, INC.As reported in NPPES

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

Authorized official

Name

Mr. Roger Johanson

Title

President

Phone

(309) 797-9099

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Ross Medical Equipment

Locations

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1831497056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071769",
            "telephone_number": "563-386-9220",
            "fax_number": "563-386-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071769",
            "telephone_number": "563-386-9220",
            "fax_number": "563-386-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MEDICAL SUPPLY COMPANY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSS MEDICAL SUPPLY COMPANY, INC.",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHANSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-797-9099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951806",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kaitlyn Sue Rosenstiel, DPT
• Jason Patrick Ross, LMHC
• Rachal L. Rossi, APN
• Mariah Rossiter, DC
• Stacy Roth, APN
• Madisyn Rowe

• Durable Medical Equipment & Medical Supplies in Davenport, IA
• Providers in Davenport, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.