DOUGLAS S ROSS (NPI# 1780690198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780690198 |
Entity Type | Individual |
Full Name | DOUGLAS S ROSS |
Credential | MD |
Practice Address |
1055 N 300 W #500 Provo UT 84604-3344 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8013577291 |
Mailing Telephone | 8013577291 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2010-06-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
1757491205 | UT | Allopathic & Osteopathic Physicians |
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 |
1558392837 | Douglas L. Ross | Radiology | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2006-07-05 |
1861447666 | Douglas Donald Ross | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-05-23 |
Street Address |
1055 N 300 W #500 |
City | PROVO |
State | UT |
Zip Code | 84604-3344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
1215351416 | Jenny Coy | Nurse Practitioner | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2014-02-07 |
1356682553 | Andrea Lee Driggs | Nurse Practitioner | 1055 N 300 W, Suite 110, Provo, UT 84604-3344 | 2013-03-13 |
1003151853 | Sharla Morgan | Nurse Practitioner | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2012-12-05 |
1720356538 | Ihc Health Services Inc | Surgery | 1055 N 300 W, Ste 205, Provo, UT 84604-5044 | 2011-12-07 |
1053691246 | Steven Forsey | Audiologist | 1055 N 300 W, Ste 401, Provo, UT 84604-3344 | 2011-08-19 |
1417241704 | Ihc Health Services Inc | Psychiatry & Neurology | 1055 N 300 W, Ste 501, Provo, UT 84604-3344 | 2011-06-03 |
1134435837 | George C Gourley, Do | Obstetrics & Gynecology | 1055 N 300 W, Suite 305, Provo, UT 84604-3344 | 2010-08-19 |
1972818185 | Joseph Evans Dansie | Audiologist | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2010-08-11 |
1619293552 | Charles Brent Stubbs | Pharmacist | 1055 N 300 W, Suite 201, Provo, UT 84604-3344 | 2010-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
Find all providers in zip 84604 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295862951 | Ihc Health Services Inc | Internal Medicine | 1055 N 300 W, Suite 500, Provo, UT 84604-3344 | 2007-02-28 |
1205931037 | Samer Abdelwahab Saleh | Internal Medicine | 1055 N 300 W, # 500, Provo, UT 84604-3344 | 2006-09-14 |
1992711253 | Tracy A Hill | Internal Medicine | 1055 N 300 W, #500, Provo, UT 84604-3344 | 2006-07-31 |
1568478832 | Michael John Pearce | Internal Medicine | 1055 N 300 W, Suite 500, Provo, UT 84604-3344 | 2006-07-31 |
1841206844 | Clark Thorpe Bishop | Internal Medicine | 1055 N 300 W, Suite 500, Provo, UT 84604-3344 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992009799 | Sleep and Lung Clinic of Utah, Inc. | Internal Medicine | 5801 S. Fashion Blvd, Ste. 280, Murray, UT 84107-6159 | 2011-01-07 |
1154543155 | William Taylor Sadler | Internal Medicine | 415 South Medical Drive, Suite C202, Bountiful, UT 84010 | 2007-05-02 |
1497885453 | Ihc Health Services Inc | Internal Medicine | 1380 E Medical Dr, #1400, St George, UT 84790 | 2007-03-07 |
1902943988 | Lynette Mardel Brown | Internal Medicine | 5121 S. Cottonwood Suite 307, Intermountain Medical Center, Murray, UT 84157-7000 | 2007-01-31 |
1942374020 | Gregory D Hammond | Internal Medicine | 613 E Fort Union, Suite #a102, Midvale, UT 84047-5531 | 2006-11-20 |
1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
1851498273 | Imad S Farrukh | Internal Medicine | 3584 W 9000 S Ste 201, West Jordan, UT 84088-4773 | 2006-09-20 |
1114931540 | Jamile Sarah Woods | Internal Medicine | Lds Hospital, 324, 8th Avenue, Salt Lake City, UT 84143-0001 | 2006-07-29 |
1003820754 | Hildegard K Smith | Internal Medicine | 324 10th Ave Ste 104, Salt Lake City, UT 84143-0001 | 2006-07-28 |
1891726162 | Sandeep Chowdhary | Internal Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2006-07-05 |
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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.