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NPI Code Detail

MEDICARE: DR. PATRICK JAMES ROSS M.D.

MEDICARE:  DR. PATRICK JAMES ROSS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician27227OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127227OTHEROKSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3221178OTHERMALIMITED STATE LICENSE

General Provider Information

NPI Number : 1316181720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK JAMES ROSS M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 888-247-0125
Fax Number : 918-502-8001
Provider Business Practice Location Address
First Line : 101 ROCKEFELLER DR STE 201
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-5050
Country : US
Telephone Number : 918-682-4580
Fax Number : 918-681-4566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2009
Last Update Date : 03/29/2021

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Directions to “ DR. PATRICK JAMES ROSS M.D.” Practice Location

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