Glen Ross (NPI# 1114985348, PAC ID# 4789633496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114985348 |
| PAC ID by PECOS | 4789633496 |
| Professional Enrollment ID | I20111207000051 |
| Full Name | Glen Ross |
| Organization Legal Name | PRO SPORTS ORTHOPEDICS LLC |
| Address |
20 Guest St Suite 225 Brighton MA 02135-2065 |
| Phone Number | 6177388642 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8123301173 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| 220135 | FALMOUTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20 Guest St, Suite 225, Brighton, MA 02135-2065 | 6177388642 | PRO SPORTS ORTHOPEDICS LLC |
| Organization Legal Name | PRO SPORTS ORTHOPEDICS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarav Shah | Orthopedic Surgery | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Jenna C Distasio | Physician Assistant | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Michael D Mason | Orthopedic Surgery | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| L Dougla Dolgov | Physical Medicine and Rehabilitation | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| John T Hester | Podiatry | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Craig R Stirrat | Orthopedic Surgery | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Street Address |
20 GUEST ST SUITE 225 |
| City | BRIGHTON |
| State | MA |
| Zip | 02135-2065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarav Shah | Orthopedic Surgery | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| James Allan Karlson | Orthopedic Surgery | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Jenna C Distasio | Physician Assistant | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| John J Wixted | Orthopedic Surgery | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Christina M Linkiewicz | Physician Assistant | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Lampros Minos | Physician Assistant | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Thomas F Burke Jr. | Orthopedic Surgery | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Michael D Mason | Orthopedic Surgery | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Westley A White | Physician Assistant | Pro Sports Orthopedics Inc | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| L Dougla Dolgov | Physical Medicine and Rehabilitation | Pro Sports Orthopedics LLC | 20 Guest St, Suite 225, Brighton, MA 02135-2065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Molina Ortiz | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Katherine Kates | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Amy Campbell Hanson | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Lucas Rabeno Fasolo | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Elizabeth Rohr | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Mark R Drews | Internal Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Maryam Salehpour | Family Medicine | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Tamara Schorr Hammer | Certified Clinical Nurse Specialist (cns) | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Melanie Joy Giegel | Nurse Practitioner | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Dawn M Patterson | Clinical Social Worker | Charles River Community Health, Inc | 495 Western Ave, Brighton, MA 02135-1007 |
| Find all physicians in zip 02135 | |||
| City | BRIGHTON |
| Zip Code | 02135 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BRIGHTON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Glen Ross.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.