KENNETH WAYNE ROSS (NPI# 1245876648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876648 |
| Entity Type | Individual |
| Full Name | KENNETH WAYNE ROSS |
| Credential | PRSS |
| Practice Address |
619 N Main St Muskogee OK 74401-4431 |
| Practice Telephone | 9186828407 |
| Mailing Telephone | 9186828407 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124326012 | Kenneth Lawrence Ross | Anesthesiology | 785 Ne 33rd St, Boca Raton, FL 33431-6127 | 2011-03-02 |
| 1265752810 | Kenneth George Ross | Family Medicine | 1550 W Manchester Ave, Los Angeles, CA 90047-5424 | 2010-06-06 |
| 1336395128 | Kenneth Michael Ross | Dentist | 1822 W Burbank Blvd, Burbank, CA 91506-1348 | 2008-08-12 |
| 1730352097 | Kenneth Alan Ross | Dentist | 88 Bartley Road, Flanders, NJ 07836-9614 | 2008-04-08 |
| 1639373103 | Kenneth Brian Ross | Emergency Medicine | 2727 W. Mlk Blvd., Ste 300, Tampa, FL 33607 | 2007-06-11 |
| 1033286596 | Kenneth Earl Ross | Family Medicine | 4 Ponder Executive Plz, House Springs, MO 63051-3431 | 2006-11-29 |
| 1366525073 | Kenneth Steven Ross | Chiropractor | 172 Sausalito Blvd, Casselberry, FL 32707-5764 | 2006-10-24 |
| 1932454188 | Kenneth David Ross | Social Worker | 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 | 2012-07-13 |
| 1700035524 | Kenneth E Ross | Dentist | 2820 Clark Rd, Sarasota, FL 34231-6220 | 2008-09-17 |
| Street Address |
619 N MAIN ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1154936755 | Katelyn Davis Ryan | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-10 |
| 1316551815 | Jonathan D Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-02 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1124630173 | Nia Ashleigh Collins | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-20 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1609486430 | Rebecca Nicole Smith | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-06 |
| 1336758416 | Quinton Ross IIi | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| 1851900914 | Shannan Marie Loman | Case Manager/Care Coordinator | 619 N Main St, Muskogee, OK 74401-4431 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934380 | Zoe November Hall | Peer Specialist | 1217 Foxcroft Cir Apt 4, Muskogee, OK 74403-7621 | 2018-09-06 |
| 1548776156 | Markita James | Peer Specialist | 503 S 9th St, Muskogee, OK 74401-7145 | 2017-12-19 |
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1760007512 | Jacqueline Vernice Hopkins | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-06-08 |
| 1003442567 | Jeffery Coe | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-17 |
| 1245865872 | Matthew Mark Porter | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-04 |
| 1598399313 | Cheyenne Dawn Russell | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-02 |
| Find all providers in MUSKOGEE | ||||
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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.