Organization Active NPI

Rossco LLC

  • Specialist
  • Savannah, GA
National Provider Identifier
1861733784
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
055437 Issued in GA
Legal business name
ROSSCO LLC
Practice address
3 Johnston St
Suite B
Savannah, GA 31405-5502
Phone
(912) 352-1234
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mr. Stephen Harold Ross
Title
Practice Adminstrator
Phone
(912) 352-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 055437 GA Primary

Addresses

Primary practice location

3 Johnston St
Suite B
Savannah, GA 31405-5502

Mailing address

3 Johnston St
Suite B
Savannah, GA 31405-5502
Phone (912) 352-1234

Other names 1

  • Live Well MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1861733784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOHNSTON ST",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055502",
            "telephone_number": "912-352-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOHNSTON ST",
            "address_2": "SUITE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055502",
            "telephone_number": "912-352-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSSCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "912-352-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "055437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.