NPIMap

Organization Active NPI

Regina Ross, MD, PC

  • Family Medicine Physician
  • Pinetop, AZ
National Provider Identifier
1912250713
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37875 Issued in AZ
Legal business name
REGINA ROSS, MD, PC
Practice address
1331 E Rim Rd
Pinetop, AZ 85935-7495
Phone
(928) 432-5154
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Regina Ross, M.D.NPI 1063690014
Title
President
Phone
(928) 432-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 37875 AZ Primary

Addresses

Primary practice location

1331 E Rim Rd
Pinetop, AZ 85935-7495

Mailing address

1331 E Rim Rd
Pinetop, AZ 85935-7495
Phone (928) 432-5154

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1912250713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E RIM RD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357495",
            "telephone_number": "928-432-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E RIM RD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357495",
            "telephone_number": "928-432-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA ROSS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-432-5154",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "37875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.