Evan M Ross (NPI# 1972913069, PAC ID# 9931327632) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1972913069 |
PAC ID by PECOS | 9931327632 |
Professional Enrollment ID | I20160705001894 |
Full Name | Evan M Ross |
Organization Legal Name | COMMONWEALTH FOOT AND ANKLE CENTER |
Address |
1915 Bishop Lane Louisville KY 40218-1901 |
Phone Number | 5024593338 |
Gender | M |
Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 2011 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 2860385036 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
180088 | NORTON HOSPITALS, INC |
Address | Phone | Organization |
---|---|---|
1915 Bishop Lane, Louisville, KY 40218-1901 | 5024593338 | COMMONWEALTH FOOT AND ANKLE CENTER |
Organization Legal Name | COMMONWEALTH FOOT AND ANKLE CENTER |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin Michael Schaffer | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
Benjamin R Mccullar | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
Street Address |
1915 BISHOP LANE |
City | LOUISVILLE |
State | KY |
Zip | 40218-1901 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin Michael Schaffer | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
Benjamin R Mccullar | Podiatry | Commonwealth Foot and Ankle Center | 1915 Bishop Lane, Louisville, KY 40218-1901 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer L Gendeman | Occupational Therapy | 3309 Wellingmoor Ave, Louisville, KY 40218-1028 | |
Lili S Lutgens | Clinical Social Worker | 2210 Goldsmith Ln, Suite 100, Louisville, KY 40218-1038 | |
Barbara A Dekay | Clinical Social Worker | 2210 Goldsmith Ln, Louisville, KY 40218-1038 | |
Christy L Osting | Clinical Social Worker | 2210 Goldsmith Ln, Suite 230, Louisville, KY 40218-1070 | |
Maria T Mccauley | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
Kelly Stilz George | Nurse Practitioner | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
Robert L Sasser | Internal Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
Gary W Davis | Family Medicine | Baptist Health Medical Group Inc | 3828 Bardstown Rd, Louisville, KY 40218-1527 |
Laura R Smith | Clinical Social Worker | 1941 Bishop Ln, Suite 1019, Louisville, KY 40218-1928 | |
Melissa Novak | Clinical Social Worker | 1941 Bishop Ln, Suite 1019, Louisville, KY 40218-1928 | |
Find all physicians in zip 40218 |
City | LOUISVILLE |
Zip Code | 40218 |
Specialty | PODIATRY |
City + Specialty | LOUISVILLE + PODIATRY |
Please comment or provide details below to improve the information on Evan M 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.