Healthcare Provider Details

I. General information

NPI: 1255300521
Provider Name (Legal Business Name): D ROSS IRONS MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W MCPHERSON HWY
CLYDE OH
43410-1133
US

IV. Provider business mailing address

PO BOX 179
BELLEVUE OH
44811-0179
US

V. Phone/Fax

Practice location:
  • Phone: 419-547-0584
  • Fax: 419-547-8918
Mailing address:
  • Phone: 440-716-1283
  • Fax: 440-716-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35-024285
License Number StateOH

VIII. Authorized Official

Name: DR. DENNIS ROSS IRONS
Title or Position: PRESIDENT
Credential: MD
Phone: 419-547-0574