Active NPI
Donald G Ross, MD
- Anatomic Pathology & Clinical Pathology Physician
- Methuen, MA
National Provider Identifier
1922097104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 71926
- Practice address
- 70 East St
Attn: Pathology Dept
Methuen, MA 01844-4597 - Phone
- (978) 687-0156
- Fax
- (978) 691-5709
- NPI assigned
- Oct 19, 2005
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 71926 | MA | Primary |
Addresses
Primary practice location
70 East St
Attn: Pathology Dept
Methuen, MA 01844-4597
Mailing address
460 Totten Pond Rd
C/O Mzi
Waltham, MA 02451-1991
Phone (781) 890-9933
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760377 | Other | MA | TUFTS |
| 3071189 | Medicaid | MA | |
| J10482 | Other | MA | BCBS |
| 34737 | Other | MA | HPHC |
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": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1922097104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 TOTTEN POND RD",
"address_2": "C/O MZI",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511991",
"telephone_number": "781-890-9933",
"fax_number": "781-890-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 EAST ST",
"address_2": "ATTN: PATHOLOGY DEPT",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444597",
"telephone_number": "978-687-0156",
"fax_number": "978-691-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DONALD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MA",
"license": "71926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "760377",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3071189",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J10482",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "34737",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.