MR. TRACY WILLIAM ROSS (NPI# 1952318859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952318859 |
| Entity Type | Individual |
| Full Name | MR. TRACY WILLIAM ROSS |
| Credential | ATC |
| Practice Address |
South 4th Street Denver PA 17517-0800 |
| Mailing Address |
5 Oak Lane Stevens PA 17578-9706 |
| Practice Telephone | 7173361423 |
| Practice Fax Number | 7173361418 |
| Mailing Telephone | 7173365335 |
| Mailing Fax Number | 7173361418 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215208871 | Tracy L Ross | Nurse Practitioner | 8141 W Center Rd Ste 200, Omaha, NE 68124-3273 | 2012-01-13 |
| 1083842520 | Tracy L Ross | Nurse Practitioner | 1387 W 4th St, Tahlequah, OK 74464-9766 | 2009-06-23 |
| 1336312263 | Tracy M Ross | Counselor | 4218 Guion Lakes Ter, Indianapolis, IN 46254-1594 | 2008-04-11 |
| 1588054217 | Tracy Ross Jr. | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2015-02-03 |
| 1306148291 | Tracy Ross | Dental Hygienist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840-3146 | 2010-11-26 |
| Street Address |
SOUTH 4TH STREET |
| City | DENVER |
| State | PA |
| Zip Code | 17517-0800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760630578 | Gordon Guinette | Audiologist-Hearing Aid Fitter | 1366 Clearview Dr, Denver, PA 17517 | 2008-09-04 |
| 1437146495 | Thomas Alan Smith | Pharmacist | 2590 North Reading Rd, Denver, PA 17517 | 2005-10-04 |
| 1578610671 | Cocalico School District | Local Education Agency (LEA) | 800 S 4th St, Denver, PA 17517-1139 | 2007-01-04 |
| 1811120504 | Marlene D Sierra | Nurse's Aide | 308 Washington St, Denver, PA 17517-1212 | 2009-08-27 |
| 1801339932 | Brittany Born | Student in an Organized Health Care Education/Training Program | 121 S 4th St, Denver, PA 17517-1220 | 2016-11-21 |
| 1831230697 | William C. Funk | Dentist | 601 N 6th St, Denver, PA 17517-1313 | 2007-02-12 |
| 1114282837 | Peter J Pranckun | Dentist | 601 N 6th St, Denver, PA 17517-1313 | 2012-07-09 |
| 1649300799 | John F Voler | Dentist | 601 N 6th St, Denver, PA 17517-1313 | 2007-03-07 |
| 1205965530 | Funk and Voler, P.C. | Dentist | 601 N 6th St, Denver, PA 17517-1313 | 2007-03-04 |
| 1033206966 | James D Nash | Family Medicine | 560 N 5th St, Denver, PA 17517-1418 | 2006-10-10 |
| Find all providers in zip 17517 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619451 | Yogis Choice Health Care LLC | Preventive Medicine | 1633 Fillmore St Ste Gl3, Denver, CO 80206 | 2015-05-20 |
| 1083127104 | Nicole Marie Havel | Preventive Medicine | 2240 Buchtel Blvd, Denver, CO 80210-3447 | 2017-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628086 | Janele Allison Wolbert | Preventive Medicine | 434 Montpelier Ave, Erie, PA 16505-1523 | 2019-09-18 |
| 1871008490 | Diane Boyce | Preventive Medicine | Bucknell University, Moore Ave., Klarc Gym, Lewisburg, PA 17837-1783 | 2017-12-05 |
| 1700302858 | Daniel S Hensley | Preventive Medicine | 201 Grampian Blvd, Williamsport, PA 17701-1813 | 2017-08-21 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1043275928 | Joseph Michael Borysowski | Preventive Medicine | 717 E High St, Pottstown, PA 19464-5770 | 2006-04-20 |
| 1760021158 | Kyle Fisher | Preventive Medicine | 101 N College Ave, Annville, PA 17003-1404 | 2020-01-02 |
| 1316594674 | Kayleigh Wagner | Preventive Medicine | 501 W 12th St, Erie, PA 16501-1536 | 2019-08-21 |
| 1568027050 | Aubrie Ann Stouffer | Preventive Medicine | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-05-09 |
| 1780158121 | Larissa J Roberts | Preventive Medicine | 410 Pellis Rd, Greensburg, PA 15601-4700 | 2019-01-18 |
| 1447419536 | Medical Associates of Erie | Preventive Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2008-06-04 |
| 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.