NPI Code Detail JSON Logo

1437528338 NPI number — CLIFFORD BYRON ROSS II

NPI Number: 1437528338
Health Care Provider/Practitioner: CLIFFORD BYRON ROSS II

Information about “1437528338” NPI (CLIFFORD BYRON ROSS II) exists in 1437528338 in HTML format HTML  |  1437528338 in plain Text format TXT  |  1437528338 in PDF (Portable Document Format) PDF  |  1437528338 in an XML format XML  formats.

NPI Number : 1437528338 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437528338",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSS",
    "FirstName": "CLIFFORD",
    "MiddleName": "BYRON",
    "NamePrefix": null,
    "NameSuffix": "II",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 505",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA CONNER",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98257-0505",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "360-873-8356",
    "MailingAddressFaxNumber": "360-899-4641",
    "FirstLinePracticeLocationAddress": "2116 E SECTION ST STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT VERNON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98274-9124",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-873-8356",
    "PracticeLocationAddressFaxNumber": "360-899-4641",
    "EnumerationDate": "09/21/2015",
    "LastUpdateDate": "10/22/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "P160570116",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.