ROSS SAMUEL OLIVER JR. (NPI# 1053497453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053497453 |
Entity Type | Individual |
Full Name | ROSS SAMUEL OLIVER JR. |
Credential | M.D. |
Practice Address |
2335 Chesterfield Avenue Suite 101 Charleston WV 25304-1066 |
Practice Telephone | 3043443785 |
Practice Fax Number | 3043443765 |
Mailing Telephone | 3043443785 |
Mailing Fax Number | 3043443765 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2012-05-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 13925 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | TRICARE | 0216253040000 | 01 |
WV | SELECT NET | 185112 | 01 |
WV | MC UMW | 1393063 | 01 |
WV | CARELINK | 221960 | 01 |
WV | ACORDIA PEIA | 1002718509 | 01 |
WV | AETNA | 4242731 | 01 |
WV | BC BS | 001721031 | 01 |
WV | CIGNA | 1508836 | 01 |
WV | 0130039000 | 05 | |
WV | RAILROAD MC | 340002703 | 01 |
Street Address |
2335 CHESTERFIELD AVENUE, SUITE 101 |
City | CHARLESTON |
State | WV |
Zip Code | 25304-1066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
Find all providers in zip 25304 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
1174846398 | Paul Walter Sanders | Urology | 18 Guerard Rd, Charleston, SC 29407-7549 | 2010-03-02 |
1093948283 | Samuel Dwane Thomas | Urology | 2 Wharfside St Apt 5e, Charleston, SC 29401-1653 | 2009-09-03 |
1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
1588722102 | Bashir R. Sankari | Urology | 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 | 2006-12-05 |
1205920261 | James P. Tierney | Urology | 11 Courtney Drive, Charleston, WV 25304 | 2006-10-03 |
1861400632 | Integrated Health Care Providers, Inc. | Urology | 1201 Washington St E Ste 105, Charleston, WV 25301-1850 | 2006-08-04 |
1770524977 | Ryan H. Fitzwater | Urology | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2006-06-09 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 25304 |
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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.