JASON PORTER ROSS (NPI# 1013541069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013541069 |
| Entity Type | Individual |
| Full Name | JASON PORTER ROSS |
| Practice Address |
2145 N Fairfield Rd Ste 100 Beavercreek OH 45431-2783 |
| Mailing Address |
15577 Northville Forest Dr Apt 222 Plymouth MI 48170-4951 |
| Practice Telephone | 9375583900 |
| Practice Fax Number | 9375583999 |
| Mailing Telephone | 2672186264 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1528300555 | Jason Robert Ross | Radiology | 1161 21st Ave S Ste Ccc 1108, Nashville, TN 37232-0709 | 2013-03-16 |
| 1982892683 | Jason Eric Ross | Counselor | 1030 S Federal Hwy Ste 123, Delray Beach, FL 33483-5194 | 2007-10-09 |
| 1124125091 | Jason W. Ross | Dentist | 10330 Montgomery Blvd Ne, Suite A, Albuquerque, NM 87111-3600 | 2006-09-20 |
| 1346251410 | Jason R Ross | Chiropractor | 1620 W Lake St, Minneapolis, MN 55408 | 2006-08-11 |
| 1225058233 | Jason M Ross | Chiropractor | 1217 N. Monroe, Grand Rapids, MI 49503 | 2006-07-20 |
| 1295706570 | Jason J. Ross | Ophthalmology | 502 E New Haven Ave, Melbourne, FL 32901-5427 | 2006-01-27 |
| 1205496312 | Jason Yale Ross | Internal Medicine | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-20 |
| 1598228553 | Jason Frank Ross | Case Manager/Care Coordinator | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-04-08 |
| 1952833329 | Jason Devin Ross | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2017-04-03 |
| Street Address |
2145 N FAIRFIELD RD STE 100 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437198066 | Lisa Renee Vantrease | Family Medicine | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 | 2006-06-06 |
| 1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
| 1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
| 1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
| 1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| 1982232807 | Nimisha Swali | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| 1588292403 | Matthew S Lyman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| 1144857210 | Evan Sommer | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| 1407374218 | Jacen Patrick Millette | Student in an Organized Health Care Education/Training Program | 1441 Red Barn Way, Beavercreek, OH 45434 | 2017-08-31 |
| 1588271886 | Kenneth Knoechel | Student in an Organized Health Care Education/Training Program | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2020-09-30 |
| 1568091254 | Emily Mahran | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-03 |
| 1124656327 | Alexander Joseph Koehler | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-04-01 |
| 1013545540 | Michelle Renee Axe | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-30 |
| 1104454982 | Emily Rawlings | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1720616428 | Kyler Benjamin Dykes | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-29 |
| 1205463205 | Chelsea Brunsman | Student in an Organized Health Care Education/Training Program | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431-2783 | 2020-03-27 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on JASON PORTER ROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.