GARY MICHAEL ROSS (NPI# 1639130099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639130099 |
| Entity Type | Individual |
| Full Name | GARY MICHAEL ROSS |
| Credential | D.O. |
| Practice Address |
401 S Main St Brewer ME 04412-2322 |
| Practice Telephone | 2079895588 |
| Practice Fax Number | 2079891599 |
| Mailing Telephone | 2079895588 |
| Mailing Fax Number | 2079891599 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME1127 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 297030099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093856213 | Gary Mccabe Ross | Dentist | 6830 Montgomery Blvd Ne Ste A, Albuquerque, NM 87109-1455 | 2007-02-09 |
| 1801816129 | Gary J Ross | Dentist | 11 Village Ln, Bethany, CT 06524-3416 | 2006-07-20 |
| 1598965659 | Gary Stuart Ross | General Practice | 500 Sutter Street, Suite 300, San Francisco, CA 94102 | 2007-07-18 |
| 1891913802 | Gary Ross | Chiropractor | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2007-04-23 |
| 1639191489 | Gary Edward Ross | Emergency Medicine | 18101 Oakwood Blvd, Er Department, Dearborn, MI 48124-4089 | 2006-07-24 |
| 1265460612 | Gary Lee Ross | Chiropractor | 5468 S Saginaw Rd, Flint, MI 48507-4424 | 2006-06-28 |
| 1598728818 | Gary W Ross | Pathology | 781 Keystone Industrial Park, Dunmore, PA 18512 | 2006-04-08 |
| 1386634715 | Gary Dean Ross | Internal Medicine | 1464 Jefferson St N, Lewisburg, WV 24901-1380 | 2005-10-26 |
| Street Address |
401 S MAIN ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487842019 | Brewer Health Center Pa | Clinic/Center | 401 S Main St, Brewer, ME 04412-2322 | 2007-10-09 |
| 1457377046 | Peak Performance Physical Therapy, LLC | Physical Therapist | 401 S Main St, Brewer, ME 04412-2322 | 2006-07-15 |
| 1578598983 | Leo J. Dugal Jr. | Physical Therapist | 401 S Main St, Brewer, ME 04412-2322 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013000942 | Penobscot Community Health Center | General Practice | 79 Parkway S, Brewer, ME 04412 | 2006-10-02 |
| 1922191857 | Penobscot Community Health Center | General Practice | 92 Pendleton St, Brewer, ME 04412 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822978 | Sme New Hampshire P.C. | General Practice | 87 Libby Hill Rd, Newport, ME 04953-4147 | 2020-05-13 |
| 1700311693 | Jennifer Cornelius | General Practice | 32 Lobster Cove Rd, York, ME 03909-1269 | 2017-04-27 |
| 1013254499 | Deane Lawrence Hutchins | General Practice | 30 Community Dr Apt 165, Camden, ME 04843-2065 | 2013-01-06 |
| 1063656460 | Floyd B Goffin | General Practice | 23 Pennell Way, Brunswick, ME 04011-7915 | 2009-04-29 |
| 1447432919 | Robert P Doyle, M.d., P.a. | General Practice | 87 S High St, Bridgton, ME 04009-1123 | 2007-11-27 |
| 1124207162 | Jane Garfield Dba Mednow Clinic Ellsworth | General Practice | 5 Long Ln, Ellsworth, ME 04605-1734 | 2007-10-26 |
| 1285773903 | Robert P. Hayes | General Practice | 11 Bolduc Ave, Winslow, ME 04901-7108 | 2007-02-06 |
| 1326107228 | Joseph Thomas Field | General Practice | 4 Pier Rd, Cape Porpoise, ME 04014 | 2006-12-06 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1053338855 | Sally Haley | General Practice | 93 Church Rd, Brunswick, ME 04011-7306 | 2006-07-16 |
| Find all providers with the same taxonomy | ||||
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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.