Sudeep J Ross (NPI# 1821203589, PAC ID# 5496818064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1821203589 |
| PAC ID by PECOS | 5496818064 |
| Professional Enrollment ID | I20131115000463 |
| Full Name | Sudeep J Ross |
| Organization Legal Name | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Address |
825 Euclid Ave Kansas City MO 64124-2323 |
| Phone Number | 8164744920 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 9739092826 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 825 Euclid Ave, Kansas City, MO 64124-2323 | 8164744920 | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| 811 A S Hwy 13, Lexington, MO 64067-1515 | 6602593823 | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Organization Legal Name | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Carroll Lahue | General Surgery | Samuel U. Rodgers Health Center, Inc. | 811 A S Hwy 13, Lexington, MO 64067-1515 |
| Tracy Lynn Gray | Nurse Practitioner | Samuel U. Rodgers Health Center, Inc. | 2121 Summit St, Kansas City, MO 64108-2126 |
| Kristie Renee Odejoke-maxwell | Nurse Practitioner | Samuel U. Rodgers Health Center, Inc. | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Leslie A Bunyar | Nurse Practitioner | Samuel U. Rodgers Health Center, Inc. | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Street Address |
825 EUCLID AVE |
| City | KANSAS CITY |
| State | MO |
| Zip | 64124-2323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sangeeta Jignesh Dalal | Emergency Medicine | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Jack Edmisten | Psychiatry | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Anthony Christian Gutierrez | Internal Medicine | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Cindy G Ruttan | Psychiatry | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Robbie S Harriford | Hospitalist | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Shannon L Johnston | Clinical Social Worker | Samuel U Rodgers Health Center Inc | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Kristie Renee Odejoke-maxwell | Nurse Practitioner | Samuel U. Rodgers Health Center, Inc. | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Leslie A Bunyar | Nurse Practitioner | Samuel U. Rodgers Health Center, Inc. | 825 Euclid Ave, Kansas City, MO 64124-2323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy D Harrel | Clinical Social Worker | 340 Gladstone Blvd, Kansas City, MO 64124-1821 | |
| Elaine W Joslyn | Family Practice | Neighborhood Family Care, Inc. | 4601 Independence Ave, Kansas City, MO 64124-2927 |
| Ryan C Miles | Optometry | 4609 Independence Ave, Kansas City, MO 64124-2927 |
| City | KANSAS CITY |
| Zip Code | 64124 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | KANSAS CITY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Sudeep J 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.