MEDICARE: HAROLD S ROSS MD

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	207W00000X	Ophthalmology Physician	127211	NY
2	363AS0400X	Surgical Physician Assistant	127211	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180041066	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	161168030	OTHER	FIRST HEALTH
3	7701336	OTHER	MVP SELECT CARE
4	161168030	OTHER	COMMUNITY CARE NETWORK
5	161168030	OTHER	UNITED HEALTH CARE
6	7320096	OTHER	AETNA
7	161168030	OTHER	TRICARE
8	7701336	OTHER	DOCTORS HEALTH PLAN
9	P010127211	OTHER	EXCELLUS BCBS BLUE CHOICE
10	0802	OTHER	HEALTHY NY
11	000912620001	OTHER	HEALTH NOW
12	161168030	OTHER	GROUP HEALTH INCORPORATED
13	0802	OTHER	EXCELLUS BCBS
14	161168030	OTHER	SIDNEY HILLMAN
15	161168030	OTHER	POMCO
16	P010127211	OTHER	MONROE PLAN
17	100751CR	OTHER	PREFERRED CARE
18	161168030	OTHER	UNITED HEALTH CARE EMPIRE

General Provider Information

NPI Number	:	1952361230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD S ROSS MD

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE
Second Line	:	BOX 659
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	315-789-4922
Fax Number	:	315-789-1791

Provider Business Practice Location Address
First Line	:	738 PRE EMPTION RD
Second Line	:
City	:	GENEVA
State	:	NY
Zip	:	14456-1336
Country	:	US
Telephone Number	:	315-789-4922
Fax Number	:	315-789-1791

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/07/2023

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