Individual
MICAELA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-2073
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2018
(859) 301-2073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
41791
KY
207ZP0101X
Anatomic Pathology Physician
01065390A
IN
207ZP0101X
Anatomic Pathology Physician
35089779
OH
207ZP0101X
Anatomic Pathology Physician
41791
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01065390A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
41791
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200931560
—
IN
05
—
2789648
—
OH
05
—
7100038690
—
KY
Enumeration date
05/17/2007
Last updated
04/06/2021
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