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NPI Code Detail

MEDICARE: PATRICK JAMES ROSS

MEDICARE: PATRICK JAMES ROSS
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
1163W00000XRegistered NurseRN.466240OH

General Provider Information

NPI Number : 1518896224
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JAMES ROSS
Provider Business Mailing Address
First Line : 13009 KENYON DR
Second Line :
City : CHESTERLAND
State : OH
Zip : 44026-3235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5955 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-888-0300
Fax Number : 440-888-1686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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