Individual
TERENCE CONRAD ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509
(859) 258-5300
(859) 258-5357
Mailing address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5300
(859) 258-5357
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
26543
KY
207RC0000X
Cardiovascular Disease Physician
35.090841
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
26543
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
35.090841
OH
207RI0011X
Interventional Cardiology Physician
Primary
26543
KY
207RI0011X
Interventional Cardiology Physician
35.090841
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085877000
—
WV
01
—
060064447
RR MEDICARE
—
05
—
0802215
—
OH
05
—
64265432
—
KY
Enumeration date
10/24/2005
Last updated
10/01/2018
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