Active NPI
Timothy Todd Ross, MD
- Internal Medicine Physician
- Vancouver, WA
National Provider Identifier
1841206307
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00019932
- Practice address
- 715 S Andresen Rd
Vancouver, WA 98661-7603 - Phone
- (360) 693-7877
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00019932 | WA | Primary |
Addresses
Primary practice location
715 S Andresen Rd
Vancouver, WA 98661-7603
Mailing address
11500 NE 76TH St Ste A3
PMB 7
Vancouver, WA 98662-3901
Phone (360) 254-3663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1841206307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 NE 76TH ST STE A3",
"address_2": "PMB 7",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986623901",
"telephone_number": "360-254-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S ANDRESEN RD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617603",
"telephone_number": "360-693-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TIMOTHY",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00019932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.