Diane Ross Md

LBN: Diane Ross Md
Diane Ross Md is an health care organization with primary practice located at 749 Oakleigh Ave , Gulfport MS 39507-3809. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Diane Ross Md can be contacted via phone (228) 896-3317, or through Ross, Diane E via phone (228) 896-3317.

Contact Information

Primary practice address
749 Oakleigh Ave Gulfport MS 39507-3809
Phone: (228) 896-3317
Fax: (228) 896-3314
Website:
Map and Directions
Authorized official contact:
Name: Ross, Diane E Doctor of Medicine (MD)
Phone: (228) 896-3317

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1639566060
LBN Legal business name Diane Ross Md
DBA Doing business as
Authorized official Ross, Diane E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2015
Last updated Apr 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639566060 NPPES
Mississippi MEDICAID 00010874

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