MICHELLE A ROSS


Address: 1412 Milstead Ave Ne, Conyers, GA 30012-3877
Phone: 7709183000

MICHELLE A ROSS (NPI# 1124006309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124006309
Entity Type Individual
Full Name MICHELLE A ROSS
Other Name MICHELLE SHUBIN
Credential M.D.
Practice Address 1412 Milstead Ave Ne
Conyers
GA 30012-3877
Mailing Address Po Box 200096
Cartersville
GA 30120-9002
Practice Telephone 7709183000
Mailing Telephone 6789057053
Mailing Fax Number 6789057053
Enumeration Date 2006-01-06
Last Update Date 2019-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
045603 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000826856A 05

Other Providers MICHELLE ROSS

NPI Name Taxonomy Address Enumeration
1487024451 Michelle Ross Occupational Therapy Assistant 1606 Brooklyn Ave, 3rd Flr, Brooklyn, NY 11210-3427 2015-10-02
1568719201 Michelle Ross Nutritionist 2915 Applewood Dr, Lodi, CA 95242-8318 2012-08-13
1922354018 Michelle J Ross Home Health 1349 Brace Rd, Victor, NY 14564-9425 2012-07-26
1518234178 Michelle Lorraine Ross Speech-Language Pathologist 36 Stone Ridge Dr, Oswego, NY 13126-7107 2011-11-28
1669704060 Michelle Lee Ross Behavioral Analyst 14124 Hauser St, Overland Park, KS 66221-2842 2010-02-10
1356417679 Michelle Ross Speech-Language Pathologist 10401 Ne Fourth Plain Rd, Suite 101, Vancouver, WA 98662-6308 2006-11-28
1629681218 Michelle Doris Ross Social Worker 400 W Seventh St, Frederick, MD 21701-4506 2020-08-25
1518501626 Michelle Yevon Ross Counselor 1090 E Cypress Ave, Redding, CA 96002-1163 2019-10-31
1215462098 Michelle Ross Behavioral Analyst 10174 Old Grove Rd Ste 100, San Diego, CA 92131-1652 2017-04-28
1275948440 Michelle Ross Registered Nurse 8033 E 10 Mile Rd, 114, Center Line, MI 48015-1427 2014-06-26

Office Location

Street Address 1412 MILSTEAD AVE NE
City CONYERS
State GA
Zip Code 30012-3877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033191093 Clifford N Grossman Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2005-11-16
1417570102 Jonathan Stott Registered Nurse 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2020-05-28
1104486711 Tracie Theresa Edwards Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2019-06-17
1386116309 Walker Lake Intensivist, PC Physician Assistant 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2019-01-02
1437629342 Walker Lake Emergency Group, PC Physician Assistant 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2018-12-04
1003385964 Walker Lake Physician Services, PC Internal Medicine 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2018-11-20
1104328095 Enas Basha Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2018-03-06
1306355680 Piedmont Rockdale Hospital Inc. General Acute Care Hospital 1412 Milstead Ave Ne, Conyers, GA 30012 2017-09-29
1093254658 Taylor Zahn Yengst Nurse Practitioner 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2017-02-15
1285186452 Shadae Mcmillan Podiatrist 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578188306 The Eye Md Ophthalmology 1359 Milstead Road, Suite #103, Conyers, GA 30012 2020-06-08
1043855836 Maurvet Minto Counselor 1175 Green St, Conyers, Conyers, GA 30012 2019-11-15
1770054561 Sarah Elizabeth Brooks Physical Medicine & Rehabilitation 1290 Milstead Ave Ne, Conyers, GA 30012 2018-12-06
1679091276 Valorie Antoinette Jones Counselor 1175 Green St Se, Conyers, GA 30012 2017-09-02
1558886341 Synergy Radiology, LLC Radiology 1501 Milstead Road, Suite 140, Conyers, GA 30012 2017-08-14
1558813295 Salon Lyon, LLC Specialist 1112 West Ave, Se, B, Conyers, GA 30012 2016-10-28
1992252753 Traci Hunter Bryan Pharmacist 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 2016-09-08
1316491830 Hye Rim Kim Anesthesiologist Assistant 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 2016-08-12
1235591397 David Jeffrey Wasserman Optometrist 1192 Dogwood Dr Sw, Conyers, GA 30012 2016-03-28
1174919187 Anique Archer Health Educator 2170 Lester Rd Nw, Conyers, GA 30012 2015-04-07
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558886341 Synergy Radiology, LLC Radiology 1501 Milstead Road, Suite 140, Conyers, GA 30012 2017-08-14
1861478588 Mark Otto Bernardy Radiology 1031 Jimson Dr Se, Conyers, GA 30013-2064 2005-12-15
1033191093 Clifford N Grossman Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2005-11-16
1508847328 Northwest Diagnostic Imaging, Inc Radiology 2287 Salem Rd Se, Conyers, GA 30013-2025 2005-11-09
1376775403 Open Mri of Georgia, Inc Radiology 2287 Salem Rd Se, Conyers, GA 30013-2025 2009-08-24
1174701262 Bradley Lloyd Fricke Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2008-01-31
1700864972 Richard Glen Stiles Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2006-01-06
1881676245 Kristin H Lewis Radiology 1412 Milstead Ave Ne, Conyers, GA 30012-3877 2005-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326650136 Tbi Diagnostic Centers of Georgia Radiology 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 2020-08-21
1912464702 Vickie Consuella71 Bush Radiology 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 2019-02-27
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1578061636 Subspecialty Imaging, LLC Radiology 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 2018-01-24
1205354693 Zenith Radiology LLC Radiology 1059 Windermere Xing, Cumming, GA 30041-6104 2017-09-06
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
1902346422 Allegiance Imaging and Radiology LLC Radiology 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 2017-03-02
1518406743 Flexogenix Georgia PC Radiology 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 2017-02-21
1649727215 Metro Imaging Cumming, LLC Radiology 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 2016-09-01
1801250022 Carolyn G. Dudley, Md, PC Radiology 956 Persimmon Pt, Sandy Springs, GA 30328-4503 2016-04-13
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Competitor

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City CONYERS
Zip Code 30012

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Dataset Information

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.

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