SAM HARRY ROSS (NPI# 1245264506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245264506 |
Entity Type | Individual |
Full Name | SAM HARRY ROSS |
Credential | M.D. |
Practice Address |
130 Highway 252 Anderson SC 29621-5054 |
Mailing Address |
Po Box 485 Columbia SC 29202-0485 |
Practice Telephone | 8038988405 |
Mailing Telephone | 8038988405 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2009-03-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
6249 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 062498 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750642757 | Sam Ross | Case Manager/Care Coordinator | 1340 S Waldron Rd, Fort Smith, AR 72903-2556 | 2012-06-06 |
Street Address |
130 HIGHWAY 252 |
City | ANDERSON |
State | SC |
Zip Code | 29621-5054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376595041 | South Carolina Dept of Mental Health Accounting Office | Psychiatric Hospital | 130 Highway 252, Anderson, SC 29621-5054 | 2006-05-17 |
1851828255 | James Wade Pitts Jr. | Pharmacist | 130 Highway 252, Anderson, SC 29621-5054 | 2017-05-16 |
1982009627 | Meissa Cikanowick O'dell | Pharmacist | 130 Highway 252, Anderson, SC 29621-5054 | 2014-10-23 |
1053759332 | Urvi Shah | Psychiatry & Neurology | 130 Highway 252, Anderson, SC 29621-5054 | 2013-06-10 |
1710121009 | Taral R Sharma | Psychiatry & Neurology | 130 Highway 252, Anderson, SC 29621-5054 | 2009-04-30 |
1134373848 | Terri Lynn Castrinos | Nurse Practitioner | 130 Highway 252, Anderson, SC 29621-5054 | 2008-11-07 |
1538367107 | Praveen Reddy Madadi | Psychiatry & Neurology | 130 Highway 252, Anderson, SC 29621-5054 | 2007-07-05 |
1982741625 | Rene P. Brown | Psychologist | 130 Highway 252, Anderson, SC 29621-5054 | 2007-01-31 |
1790850246 | Jonathan C Dugdill | Psychologist | 130 Highway 252, Anderson, SC 29621-5054 | 2006-11-21 |
1104902147 | South Carolina Deptartment of Mental Health | Pharmacy | 130 Highway 252, Anderson, SC 29621-5054 | 2006-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
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Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164746392 | Anmed Health | Psychiatry & Neurology | 800 N Fant St, Anderson, SC 29621-5708 | 2010-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093280620 | Capeside Addiction Care, Pllc | Psychiatry & Neurology | 4889 Highway 17 Byp S, Myrtle Beach, SC 29577-6683 | 2018-10-10 |
1205996303 | Susan Jayne Olson | Psychiatry & Neurology | 1297 Professional Dr, Ste 104, Myrtle Beach, SC 29577-5713 | 2006-12-11 |
1982037529 | Charleston Addiction Medicine, LLC | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2013-08-19 |
1104101054 | South Carolina Research Group LLC | Psychiatry & Neurology | 68 Parkway Commons Way, Greer, SC 29650-5213 | 2011-10-11 |
1558663294 | Michael J Huggins | Psychiatry & Neurology | 2175 Ashley Phosphate Rd, Suite G, North Charleston, SC 29406-4181 | 2010-12-01 |
1922203223 | Joseph David Markowitz | Psychiatry & Neurology | 3555 Harden Street Ext Ste 141, Columbia, SC 29203 | 2007-06-18 |
1396957445 | Robert Holden Stafford | Psychiatry & Neurology | 910 Cook Rd, Orangeburg, SC 29118-2124 | 2007-05-03 |
1538229448 | Strand Psychiatric Associates Pa | Psychiatry & Neurology | 3025 Newcastle Loop, Myrtle Beach, SC 29588-4502 | 2006-12-11 |
1295824159 | Spartanburg Medical Center | Psychiatry & Neurology | 391 Serpentine Dr, Suite 400, Doctor's Center, Spartanburg, SC 29303-3096 | 2006-10-11 |
1750481727 | Faraz Qureshi | Psychiatry & Neurology | 109 Bee St, Charleston, SC 29401-5703 | 2006-09-22 |
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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.