| Dr Ross Michael Canup, MD | |
|
42d Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112-6027 | |
| (334) 953-5200 | |
| (334) 953-8607 |
| Full Name | Dr Ross Michael Canup |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 42d Medical Group, Maxwell Afb, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013367333 | NPI | - | NPPES |
| 0101263009 | Other | VIRGINIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101263009 (Virginia) | Primary |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ross Michael Canup, MD 42d Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-5200 | Dr Ross Michael Canup, MD 42d Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112-6027 Ph: (334) 953-5200 |
Dr. Paul A Tilton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 | |
Dr. Clayton J Rabens, M.D., M.P.H. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 334-953-8607 | |
John N Gayk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Twining St # 760, Maxwell Afb, AL 36112 Phone: 336-833-4953 | |
Dr. Jenniffer Lynn Lapointe, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-1714 Fax: 334-953-4214 | |
Dr. Phillip Andrew Strawbridge, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 | |
Dr. Dennis Pearman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Twining Street, Maxwell Afb, AL 36112 Phone: 334-953-5143 Fax: 334-953-8296 |