| Dr Zachary Aaron Ross, DO | |
|
310 W Losey St Bldg 1530, Scott Afb, IL 62225-5250 | |
| (618) 256-9355 | |
| Not Available |
| Full Name | Dr Zachary Aaron Ross |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 310 W Losey St Bldg 1530, Scott Afb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578157608 | NPI | - | NPPES |
| 34.016087 | Other | OH | MEDICAL LICENSE NUMBER |
| 0444113 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34.016087 (Ohio) | Primary |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary Aaron Ross, DO 310 W Losey St Bldg 1530, Scott Afb, IL 62225-5250 Ph: (618) 256-9355 | Dr Zachary Aaron Ross, DO 310 W Losey St Bldg 1530, Scott Afb, IL 62225-5250 Ph: (618) 256-9355 |
Chauncey Denise Tarrant, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7018 | |
Jeremy David Moll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7827 | |
Kristine Eva Andrews, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Medical Group, 310 W. Losey Street, Scott Afb, IL 62225 Phone: 618-256-7018 Fax: 618-256-7594 | |
Mary Beth Doyle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7018 Fax: 618-256-7594 |