Individual
JOHN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 VAN BUREN ST, SUITE 203, FOSTORIA, OH 44830-1593
(419) 435-4950
(419) 435-0849
Mailing address
501 VAN BUREN ST, SUITE 203, FOSTORIA, OH 44830-1593
(419) 435-4950
(419) 435-0849
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35064459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295676
ANTHEM
OH
01
—
01984
PARAMOUNT
OH
05
—
0914032
—
OH
01
—
14-10282
UHC
OH
01
—
160060037
RRMC
OH
01
—
282548894-009
MMOH
OH
01
—
4557221
AETNA
OH
Enumeration date
07/28/2005
Last updated
02/11/2010
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