DR. MITCHELL P ROSS (NPI# 1780657635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780657635 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL P ROSS |
| Credential | M.D. |
| Practice Address |
350 W Thomas Rd Attn: Picu Phoenix AZ 85013-4409 |
| Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
| Practice Telephone | 6024063241 |
| Mailing Telephone | 6029439200 |
| Mailing Fax Number | 6022163000 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
28504 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 524935 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503660 | Mitchell K Ross | Psychiatry & Neurology | 10 Minot Ave, Auburn, ME 04210-4900 | 2005-10-25 |
| 1154983872 | Mitchell Addison Ross | Pharmacist | 2401 N Central Ave, Humboldt, TN 38343-1753 | 2019-07-02 |
| 1790134385 | Mitchell Ross | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5400 | 2016-06-06 |
| 1275995540 | Mitchell David Ross | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2016-03-24 |
| 1497872659 | Mitchell J. Ross | Dermatology | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | 2007-03-23 |
| 1265593396 | Mitchell Neal Ross | Surgery | 10810 Connecticut Avenue, Kensington, MD 20895-2138 | 2006-12-13 |
| 1831181809 | Mitchell Joshua Ross | Internal Medicine | 340 E Palm Ln, Suite 175, Phoenix, AZ 85004-4603 | 2005-08-16 |
| Street Address |
350 W THOMAS RD ATTN: PICU |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795415 | Select Specialty Hospital - Phoenix Inc | Long Term Care Hospital | 350 W Thomas Rd, 3rd Flr, Phoenix, AZ 85013-4409 | 2005-07-26 |
| 1053928267 | Zion Specialty Pllc | Specialist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-30 |
| 1598370603 | Park Central Anesthesia | Anesthesiology | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-09-15 |
| 1760093553 | Marissa Karrina Lopez | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-08-13 |
| 1497373252 | Bernardo De Andrada Pereira | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-08 |
| 1700403185 | Janae Marie Herrera | Registered Nurse | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-07-01 |
| 1649896267 | Benjamin Craig Seleen | Nurse Practitioner | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-06-19 |
| 1588285902 | Chandra Marie Tontsch | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-27 |
| 1568083970 | Cody Wong | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2020-04-27 |
| 1427678200 | Timothy Eugene Hollowed | Student in an Organized Health Care Education/Training Program | 350 W Thomas Rd, Phoenix, AZ 85013-4496 | 2020-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467154 | Pediatrics Healthcare Associates | Pediatrics | 10645 N Tatum Blvd Ste C200-272, Phoenix, AZ 85028-3068 | 2020-05-04 |
| 1225051618 | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | Pediatrics | 4722 N 24th St Ste 150, Phoenix, AZ 85016-4860 | 2006-07-26 |
| 1255833158 | Jennifer Hann | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2018-03-06 |
| 1720408313 | Shefali Aggarwal | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2014-04-22 |
| 1821433467 | Elizabeth Rose Diaz | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-05-09 |
| 1700143674 | Renee Devor | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2012-04-17 |
| 1124305578 | Jeffrey H Hill Md Phc Pllc | Pediatrics | 1800 E Van Buren St, Phoenix, AZ 85006-3742 | 2011-11-14 |
| 1679779441 | Heather Anne Hanley | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-06-26 |
| 1447319306 | Lisa M Grimaldi | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2006-12-07 |
| 1427067792 | Sandra Dawn-watanabe Buttram | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2006-08-05 |
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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.