MEDICARE: ALLYN ELISE 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
1	363LP0200X	Pediatric Nurse Practitioner	207381	OK
2	363LF0000X	Family Nurse Practitioner	207381	OK

General Provider Information

NPI Number	:	1730824939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYN ELISE ROSS

Provider Business Mailing Address
First Line	:	2701 SW CORNELL AVE
Second Line	:
City	:	LAWTON
State	:	OK
Zip	:	73505-7121
Country	:	US
Telephone Number	:	580-248-0696
Fax Number	:

Provider Business Practice Location Address
First Line	:	1214 ARLINGTON ST
Second Line	:
City	:	ADA
State	:	OK
Zip	:	74820-4045
Country	:	US
Telephone Number	:	580-436-5111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2022
Last Update Date	:	03/11/2024

Similar Medicare Providers

1548252299 — TAWFIK RAMADAN MD
Practice Location Address:

1214 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-436-2283
Practice Fax: 580-436-2291

1689701518 — DR. PAULA ELAINE VANBUSKIRK DDS
Practice Location Address:

1212 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-332-6767
Practice Fax: 580-421-9739

1780705772 — SOUTHERN OKLAHOMA PEDIATRICS INC
Practice Location Address:

1214 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-436-2283
Practice Fax: 580-436-2291

1992365597 — DR. ANTHONY LEE SHELTON
Practice Location Address:

1214 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-436-5111
Practice Fax: 580-436-1159

1457978546 — ALL SMILES DENTAL OF ADA PC
Practice Location Address:

1212 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-332-6767
Practice Fax: 580-927-2332

1861147472 — CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
Practice Location Address:

1214 ARLINGTON ST
ADA, OK
74820-4045

Practice Phone: 580-436-5111
Practice Fax: 580-436-1159

Directions to “ ALLYN ELISE ROSS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.