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NPI Code Detail

MEDICARE: MITCHELL JOSHUA ROSS M.D.

MEDICARE: MITCHELL JOSHUA 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
1207RC0000XCardiovascular Disease Physician32200AZ
2207RI0011XInterventional Cardiology Physician32200AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00169271OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831181809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL JOSHUA ROSS M.D.
Provider Business Mailing Address
First Line : 340 E PALM LN
Second Line : SUITE 175
City : PHOENIX
State : AZ
Zip : 85004-4603
Country : US
Telephone Number : 602-386-1100
Fax Number : 602-386-1150
Provider Business Practice Location Address
First Line : 340 E PALM LN
Second Line : SUITE 175
City : PHOENIX
State : AZ
Zip : 85004-4603
Country : US
Telephone Number : 602-386-1100
Fax Number : 602-386-1150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 04/22/2015

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Directions to “ MITCHELL JOSHUA ROSS M.D.” Practice Location

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