Physician Compare National (NPI:1366439101)

HEALTHCARE PROVIDER: RICHARD BUSH ROSS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366439101
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153428792
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070516000468
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSS
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2477 S TELSHOR
	Group Practice or individual's line 1 address
City	LAS CRUCES
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	880115049
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5755223471
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	320018
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320085
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MOUNTAIN VIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	321309
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MIMBRES MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y