Active NPI
Ross Franklin Shipp, MD
- Internal Medicine Physician
- Waco, TX
National Provider Identifier
1871567099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D6171
- Practice address
- 301 Richland West Cir
Waco, TX 76712-7932 - Phone
- (254) 756-7091
- Fax
- (254) 754-2666
- NPI assigned
- Feb 14, 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 | D6171 | TX | Primary |
Addresses
Primary practice location
301 Richland West Cir
Waco, TX 76712-7932
Mailing address
301 Richland West Cir
Waco, TX 76712-7932
Phone (254) 756-7091
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BM492 | Other | TX | BCBS |
| 115476702 | Medicaid | TX | |
| 115476704 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1871567099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 RICHLAND WEST CIR",
"city": "WACO",
"state": "TX",
"postal_code": "767127932",
"telephone_number": "254-756-7091",
"fax_number": "254-754-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RICHLAND WEST CIR",
"city": "WACO",
"state": "TX",
"postal_code": "767127932",
"telephone_number": "254-756-7091",
"fax_number": "254-754-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPP",
"first_name": "ROSS",
"middle_name": "FRANKLIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "D6171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BM492",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115476702",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115476704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.