Harris A Ross, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS002098L Issued in PA

Practice address

328 W Godfrey Avenue
Philadelphia, PA 19120

Phone

(215) 276-1122

Fax

(215) 549-4007

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Physical Medicine & Acupuncture,P.a.

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
  • NPI 1811138761
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1982734000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W GODFREY AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-276-1122",
            "fax_number": "215-549-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W GODFREY AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-276-1122",
            "fax_number": "215-549-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HARRIS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS002098L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "118986800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0547727000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Francis Ross Sr.
• Ellen I. Ross, MD
• Erin Nicole Ross, DO
• Gerald L Ross, OD
• Geraye C Ross
• Howard M Ross, MD
• Jasmine Ross
• Jennifer Heather Ross, MA, ATR-BC, LPC
• Joyce Ross, CRNP
• Judith L. Ross, MD

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

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