Individual
KRISTIE R ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-087959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221020
UNISON
OH
01
—
000000526122
ANTHEM
OH
05
—
1018902320001
—
PA
05
—
1255365961
—
MI
01
—
2659609
BCMH
OH
05
—
2659609
—
OH
01
—
363970
WELLCARE
OH
05
—
706960240A
—
GA
01
—
745966
BUCKEYE
OH
01
—
7942869
AETNA
OH
Enumeration date
07/10/2006
Last updated
07/06/2011
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