DOUGLAS L. ROSS (NPI# 1558392837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558392837 |
| Entity Type | Individual |
| Full Name | DOUGLAS L. ROSS |
| Credential | DO |
| Practice Address |
1000 Harrington St Mount Clemens MI 48043-2920 |
| Mailing Address |
Po Box 1108 Attn: Lynda Thompson Ann Arbor MI 48106-1108 |
| Practice Telephone | 5864938098 |
| Practice Fax Number | 5864938706 |
| Mailing Telephone | 7346777400 |
| Mailing Fax Number | 7346777407 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101005626 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS INDIVIDUAL# | 3155015635 | 01 |
| MI | 3524765 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1851824668 | Douglas Cole Ross | Student in an Organized Health Care Education/Training Program | Asu Station 10889, San Angelo, TX 76909-0899 | 2017-04-07 |
| 1679645444 | Douglas B Ross | Emergency Medicine | 3061 S Maryland Pkwy Ste 104, Las Vegas, NV 89109-6226 | 2006-11-15 |
| 1255329900 | Douglas Jay Ross | Physician Assistant | 351 Edwin Drive, Suite 102, Virginia Beach, VA 23462 | 2005-10-07 |
| 1679567135 | Douglas B Ross | Chiropractor | 6434 Telegraph Ave, Oakland, CA 94609-1112 | 2005-09-09 |
| 1730182718 | Douglas K Ross | Dentist | 807 E Karsch Blvd, Farmington, MO 63640-3025 | 2005-05-24 |
| 1518161223 | Douglas A Ross | Internal Medicine | 279 3rd Ave, Long Branch, NJ 07740-6211 | 2007-06-14 |
| 1164527297 | Douglas L Ross | Dentist | 201 E Main St, Everson, WA 98247-9126 | 2006-09-13 |
| 1780690198 | Douglas S Ross | Internal Medicine | 1055 N 300 W, #500, Provo, UT 84604-3344 | 2006-07-31 |
| 1861447666 | Douglas Donald Ross | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-05-23 |
| Street Address |
1000 HARRINGTON ST |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336335 | Richard L Reece Jr. | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2005-06-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1477154060 | Michael Dennie | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-02 |
| 1144828088 | Micayla Wehby | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-10-13 |
| 1326650516 | Dawn Miller | Social Worker | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-19 |
| 1437760246 | Sandeep Kaur | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-14 |
| 1538779475 | Kirandeep Sehmi | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-05 |
| 1669080172 | Anisha Tailor | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-21 |
| 1518575448 | Duncan George Innes | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1851909790 | John Murray | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275986705 | Andrew Hatkoff | Radiology | 1000 Harrington Blvd, Mclaren Macomb Hospital, Mount Clemens, MI 48043 | 2016-07-20 |
| 1215291570 | Tracy Shih-chieh Chen | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2012-07-01 |
| 1881905305 | Osman M Tahir | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2010-06-30 |
| 1720286230 | Nadir Mohammad Khan | Radiology | 1000 Harrington St, Diagnostic Radiology Dept, Mount Clemens, MI 48043-2920 | 2007-07-05 |
| 1437360864 | Tejas Ajay Dalal | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-25 |
| 1063620540 | Affaan Khan Bangash | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-18 |
| 1386859775 | Jeremy S Kendra | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-11 |
| 1194939710 | Roshan Balakrishna Pai | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2007-05-10 |
| 1477660280 | George L. Figacz | Radiology | 1000 Harrington St, Radiology Dept, Mount Clemens, MI 48043-2920 | 2006-08-25 |
| 1801801519 | General Radiology Associates, P.C. | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2006-07-30 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on DOUGLAS L. ROSS.
| 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.