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Contact Information

JOHN P ROSS, MD
14104 N. EASTERN AVE. STE. E
EDMOND, OK73013
 Phone: 405-340-1279
 Fax: 405-216-5089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOHN P ROSS · (Male)

NPI Number 1679535470
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 04/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IA License # MD-45914
  • OK License # 13842
  • OK Medicaid 100130030A
  • OK Other $$$$$$$$$ BCBS
Hospital affiliation(s)
  • O U MEDICAL CENTER - (Acute Care)
    1200 EVERETT DRIVE
    OKLAHOMA CITY, OK 73104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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