SCOTT A ROSS (NPI# 1841290129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841290129 |
| Entity Type | Individual |
| Full Name | SCOTT A ROSS |
| Credential | M.D. |
| Practice Address |
5010 Carolina Forest Blvd Myrtle Beach SC 29579-3579 |
| Mailing Address |
300 Singleton Ridge Rd Attention Patient Accounting Conway SC 29526-9142 |
| Practice Telephone | 8432362700 |
| Practice Fax Number | 8432362726 |
| Mailing Telephone | 8432346827 |
| Mailing Fax Number | 8432346990 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 83593 | SC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 0101053663 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1841290129 | 05 | |
| VA | 5632986 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8640 Sudley Rd, Suite 203, Manassas, VA 201104420 | 7033683161 | 7033682498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870163 | Scott Ross | Family Medicine | 4201 Pinion Dr, Usaf Academy, CO 80840-4000 | 2019-09-12 |
| 1619304060 | Scott Gordon Ross | Contractor | 2121 Forest Hollow Way, Saint Johns, FL 32259-2949 | 2013-10-01 |
| 1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
| 1720055023 | Scott K Ross | Family Medicine | 4251 Sunset Dr, San Angelo, TX 76904-5653 | 2006-03-06 |
| 1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
| 1891328399 | Scott Warren Ross | Behavioral Analyst | 2500 Arapahoe Ave Ste 230, Boulder, CO 80302-6752 | 2020-02-13 |
| 1376189944 | Scott B Ross | Physician Assistant | 70 Bower Dr, Medford, OR 97501-3689 | 2019-11-19 |
| 1558845297 | Scott Ross | Military Health Care Provider | 3488 Garden Ave, Anderson Hal M/f-4, San Antonio, TX 78234 | 2018-09-19 |
| 1487029831 | Scott Allen Ross | Registered Nurse | 9040 Jackson Ave, Madigan Army Medical Center, Tacoma, WA 98431 | 2015-12-10 |
| 1356749071 | Scott Ross | Counselor | 3320 173rd Pl Ne, Arlington, WA 98223-8712 | 2014-12-11 |
| Street Address |
5010 CAROLINA FOREST BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790139558 | Yolanda Lang | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2016-04-19 |
| 1760852313 | Jennifer Lynn Lee | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-09-25 |
| 1114300985 | Amanda Schimnowski | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2015-06-29 |
| 1699156364 | Megan Thompson Hall | Pediatrics | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-06-17 |
| 1679836597 | Brittany Gusic | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2012-06-18 |
| 1003112152 | Conway Hospital Inc | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2011-02-08 |
| 1902047277 | Conway Hospital, Inc. | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2009-03-17 |
| 1669489100 | Kenneth A Thompson | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278422 | Melissa Costantini | Family Medicine | 4612 Oleander Drive Unit 102, Myrtle Beach, SC 29577-2957 | 2020-02-27 |
| 1063045565 | La Bella Md | Family Medicine | 2020 Oakheart Rd, Myrtle Beach, SC 29579-1252 | 2020-02-13 |
| 1780118414 | Georgetown Physician Associates, LLC | Family Medicine | 4320 Holmestown Rd Ste A, Myrtle Beach, SC 29588-7837 | 2017-04-19 |
| 1326594995 | Mcleod Physician Associates II | Family Medicine | 907 Startek Drive, Myrtle Beach, SC 29579-4471 | 2016-09-01 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1972941649 | Chrystal M Coates-gal | Family Medicine | 4612 Oleander Dr Ste 102, Myrtle Beach, SC 29577-5711 | 2013-06-04 |
| 1336324169 | Patrick Keith Ryan | Family Medicine | 4600 Oleander Dr Ste C, Agape Physicians Care, Myrtle Beach, SC 29577-5897 | 2007-12-28 |
| 1639280647 | David Wayne Murphy | Family Medicine | 6010 Highway 707 Ste 100, Myrtle Beach, SC 29588-7321 | 2006-08-31 |
| 1740215714 | Ernest R Gelb | Family Medicine | 4320 Holmestown Rd, Myrtle Beach, SC 29588-7837 | 2006-07-11 |
| 1821033085 | Steven Alan Meixel | Family Medicine | 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 | 2006-06-19 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on SCOTT A 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.