Active NPI
Sidney Osborn Ross, MD
- Surgery Physician
- Baton Rouge, LA
National Provider Identifier
1962403972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 03360R
- Practice address
- 8595 Picardy Ave Ste 420
Baton Rouge, LA 70809-3676 - Phone
- (225) 763-4820
- Fax
- (225) 763-4819
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 03360R | LA | Primary |
Addresses
Primary practice location
8595 Picardy Ave Ste 420
Baton Rouge, LA 70809-3676
Mailing address
8595 Picardy Ave Ste 420
Baton Rouge, LA 70809-3676
Phone (225) 763-4820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1192317 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962403972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8595 PICARDY AVE STE 420",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093676",
"telephone_number": "225-763-4820",
"fax_number": "225-763-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8595 PICARDY AVE STE 420",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093676",
"telephone_number": "225-763-4820",
"fax_number": "225-763-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SIDNEY",
"middle_name": "OSBORN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "03360R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1192317",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.