Flordeliz R Ross, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

34772 Issued in MO

Practice address

11903 Saint Charles Rock Rd
Bridgeton, MO 63044-2623

Phone

(314) 739-2900

Fax

(314) 770-1623

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Health Group Medical Inc

  • Pain Medicine Physician
  • Fenton, MO
  • NPI 1245642420
  NPD (past)
• Physicians Health Group, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Fenton, MO
  • NPI 1427090836
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1902840218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442623",
            "telephone_number": "314-739-2900",
            "fax_number": "314-770-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442623",
            "telephone_number": "314-739-2900",
            "fax_number": "314-770-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "FLORDELIZ",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "34772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rohlfing, M.D.
• Hunter Odell Rondeau, PHARMD
• Nickolas Rongey, AGNP-C
• Isabel Levine Rosenbloom, M.D.
• Danielle Rosner
• Stephanie Ross, PT, DPT
• Virginia Ross, MA,LPC
• William J Ross, M.D.
• Rachel Roth, NP-C
• Raad R Roubey, M.D.

• Specialist in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.