MYCHAL JORDAN ROSS (NPI# 1245873330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245873330 |
| Entity Type | Individual |
| Full Name | MYCHAL JORDAN ROSS |
| Practice Address |
102 Technology Dr Ste 110a Butler PA 16001-1784 |
| Mailing Address |
837 Mckinley St Harwick PA 15049-8927 |
| Practice Telephone | 8339170873 |
| Practice Fax Number | 7244820185 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP021289 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 E Jefferson St, Butler, PA 160014780 | 7242821530 | 7244312481 |
| Street Address |
102 TECHNOLOGY DR STE 110A |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659431104 | Kim M Pierce | Internal Medicine | 102 Technology Dr Ste 110a, Butler, PA 16001-1784 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571146 | Alyssa Renee Hartman | Nurse Practitioner | 301 Meadowmere Dr, Butler, IN 46721-1070 | 2019-11-04 |
| 1073002465 | Daniel Raymond Klaber Jr. | Nurse Practitioner | 176 Retreat St, Butler, KY 41006-8702 | 2018-05-01 |
| 1629595285 | Tekondia Carter | Nurse Practitioner | 340 Carnation Dr, Butler, AL 36904-3164 | 2017-08-24 |
| 1912335332 | Linette R Hilliard | Nurse Practitioner | 109 Technology Dr Ste A, Butler, PA 16001-1785 | 2013-10-22 |
| 1376896241 | Christine Cassioli | Nurse Practitioner | 104 Shepperd Dr, Butler, PA 16002-3664 | 2012-10-17 |
| 1164706727 | Sheryl M Neely | Nurse Practitioner | 581 Three Degree Rd, Butler, PA 16002-7645 | 2011-09-30 |
| 1770679219 | Megan Walzer | Nurse Practitioner | 14 Stonybrook Ct, Butler, NJ 07405 | 2006-10-04 |
| 1013913193 | Leslie Elizabeth Acevedo | Nurse Practitioner | 231 W Diamond St, Butler, PA 16001-5784 | 2005-06-23 |
| 1285636407 | Rebecca A. Johnson | Nurse Practitioner | 280 New Castle Rd, Butler, PA 16001-2530 | 2005-06-01 |
| 1558979203 | Bryan L Artiles | Nurse Practitioner | 1 Hospital Way, Butler, PA 16001-4670 | 2020-07-20 |
| Find all providers in BUTLER | ||||
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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.