Michael Ross Sports Medicine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD430033 Issued in PA

Legal business name

MICHAEL ROSS SPORTS MEDICINE

Practice address

1159 Morris Rd
Wynnewood, PA 19096-2236

Phone

(610) 952-6452

Fax

(484) 412-8385

NPI assigned

Jan 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jordan Ross, M.D.

Title

President

Phone

(610) 952-6452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1902043565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 MORRIS RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962236",
            "telephone_number": "610-952-6452",
            "fax_number": "484-412-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 MORRIS RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962236",
            "telephone_number": "610-952-6452",
            "fax_number": "484-412-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROSS SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-952-6452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD430033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana Menkowitz, LCSW
• Giancarlo Mercogliano, M.D.
• Vincent J Merola, PA
• Thomas J Meyer, M.D.
• Alan Lowell Mezey, M.D.
• Dori Middleman, M.D.
• Milestone Therapy Group LLC
• Aleena Johnna Milinski, DO
• Howard Alan Miller, MD
• John Miller

• Medical Specialty Clinic/Center in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.