STEVEN ROSS (NPI# 1982648895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982648895 |
| Entity Type | Individual |
| Full Name | STEVEN ROSS |
| Credential | MD |
| Practice Address |
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 |
| Practice Telephone | 2604357334 |
| Mailing Telephone | 2604357334 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01027154A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100054210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609025154 | Steven Leon Ross | Social Worker | 59 E 7th St Apt 12, New York, NY 10003-8175 | 2008-09-09 |
| 1104073378 | Steven T Ross | Dentist | 770 E Romie Ln Ste A1, Salinas, CA 93901-4222 | 2008-08-19 |
| 1982874574 | Steven N. Ross | Chiropractor | 1001 W Cypress Creek Rd Ste 304, Fort Lauderdale, FL 33309-1950 | 2008-03-10 |
| 1982889887 | Steven A Ross | Radiology | 4815 Alameda Avenue, El Paso, TX 79905-2705 | 2008-01-09 |
| 1417014549 | Steven Ross | Psychologist | 2551 San Ramon Valley Blvd, Suite 250, San Ramon, CA 94583-1614 | 2007-01-01 |
| 1437229010 | Steven Elton Ross | Clinical Nurse Specialist | 4225 Wellington Shores Dr, Wellington, FL 33467-8351 | 2006-11-09 |
| 1295741544 | Steven Alan Ross | Pediatrics | 405 Anglers Drive, Suite A, Steamboat Springs, CO 80488-2470 | 2006-07-31 |
| 1982625505 | Steven E Ross | Family Medicine | 6525 W Campus Oval, Suite 150, New Albany, OH 43054-8830 | 2006-07-21 |
| 1700805827 | Steven Ross | Psychiatry & Neurology | 1423 Joseph St, New Orleans, LA 70115-4262 | 2006-07-19 |
| 1326022971 | Steven Ira Ross | Obstetrics & Gynecology | 49 Crooked Oak Rd, Port Jefferson, NY 11777-1157 | 2005-12-06 |
| Street Address |
7333 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778753 | Deborah S Castile | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2005-05-23 |
| 1487264818 | Holly Bowman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-07-31 |
| 1598387904 | Krystal Marie Li | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-05-08 |
| 1245850106 | Kimberly A. Burns | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1497375356 | Stacey M. Krick | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1619519915 | Liece Laurens | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-10-08 |
| 1689226797 | Crista Randol | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-07-10 |
| 1780156299 | Jenna Marie Waterman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6202 | 2018-12-21 |
| 1063982973 | Hannah Victoria Duggan | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-12-04 |
| 1548746837 | Jodi Grover | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| 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 |
|---|---|---|---|---|
| 1760912026 | Christina A Tatara | Family Medicine | 6511 E State Blvd, Fort Wayne, IN 46815-7026 | 2017-06-19 |
| 1700317633 | Robert Campbell | Family Medicine | 7411 Hope Dr, Fort Wayne, IN 46815-5687 | 2017-03-22 |
| 1487196424 | American Vein Institute LLC | Family Medicine | 10020 Dupont Circle Ct Ste 140, Fort Wayne, IN 46825-1621 | 2016-11-08 |
| 1831547124 | Anna Menze | Family Medicine | 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 | 2016-05-27 |
| 1407203672 | Credo Health Group, LLC | Family Medicine | 10228 Dupont Circle Dr E # 100b, Fort Wayne, IN 46825-1611 | 2016-05-18 |
| 1649625104 | Gabrielle Paloma Acquaro | Family Medicine | 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 | 2016-05-03 |
| 1720491731 | John E Marx | Family Medicine | 1007 W Rudisill Blvd, Fort Wayne, IN 46807-2170 | 2014-06-06 |
| 1457763252 | Amy Simpson | Family Medicine | 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 | 2014-05-28 |
| 1932536083 | Clifford James Shultz | Family Medicine | 2616 Covington Pointe Trl, Fort Wayne, IN 46804-2773 | 2013-10-03 |
| 1164860086 | Andrew J Mullally | Family Medicine | 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389 | 2013-06-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.