DR. ALICIA MARIE ROSS (NPI# 1811053911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811053911 |
| Entity Type | Individual |
| Full Name | DR. ALICIA MARIE ROSS |
| Credential | M.D. |
| Practice Address |
1111 Ne 99th Ave Suite 201 Portland OR 97220-9428 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5039621000 |
| Practice Fax Number | 5039633005 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD22980 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
MD22980 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 226990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326413055 | Alicia Sue Ross | Specialist | 21 Cherry Hill Rd, Star Lake, NY 13690-3145 | 2015-12-07 |
| 1720556210 | Alicia Ross | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2018-11-02 |
| 1174023790 | Alicia Ross | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-02-20 |
| 1255769816 | Alicia Ross | Pharmacist | 1316 N Highway 77, T-1962, Waxahachie, TX 75165-5116 | 2013-10-17 |
| 1316020829 | Alicia Mendez Ross | Internal Medicine | 575 Beech St, Holyoke, MA 01040-2223 | 2006-10-21 |
| 1295824613 | Alicia C. Ross | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-12 |
| Street Address |
1111 NE 99TH AVE SUITE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568499 | David Arthur Schroeder | Internal Medicine | 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 | 2005-06-16 |
| 1942788013 | Stephanie Smith | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| 1114405131 | Robert Francis Graham | Physical Therapist | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2018-08-01 |
| 1962952655 | Portland Gastroenterology Equipment | Clinic/Center | 1111 Ne 99th Ave, Suite 302, Portland, OR 97220-9428 | 2016-10-06 |
| 1346609534 | Theresa Orazio Wear | Nurse Practitioner | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2016-02-16 |
| 1023483799 | Alyssa Marie O'brien | Dietitian, Registered | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-12-07 |
| 1134504103 | Ross Alan Vannorman | Physician Assistant | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-07-20 |
| 1558748293 | Carly Jacqueline Griffin | Nurse Practitioner | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2015-05-01 |
| 1932507472 | Amanda Vandeventer | Physician Assistant | 1111 Ne 99th Ave, Suite 201, Portland, OR 97220-9428 | 2014-12-16 |
| 1346645843 | Whitni Nicole Friberg | Physician Assistant | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568648954 | Deborah E Meyers | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-01-15 |
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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.