Individual
ROSS MICHAEL GERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 572-7001
(864) 412-0436
Mailing address
1 DOCTORS DR, GREENVILLE, SC 29605-4266
(864) 572-7001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
51320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274725
OH MEDICAID UNISON
OH
05
—
0049793000
—
WV
01
—
1074772
BWC
WV
01
—
2965322
OH MEDICAID MOLINA
OH
05
—
2965322
—
OH
01
—
310917085209
OH MEDICAID CARESOURCE
OH
05
—
513206
—
SC
05
—
7100151060
—
KY
01
—
GE4272191
MEDICARE PTAN
—
01
—
GE4272192
MEDICARE
WV
01
—
P00749569
MEDICARE RAILROAD
WV
01
—
TIN
OHIO HEALTH GROUP
—
Enumeration date
05/24/2007
Last updated
04/30/2021
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