| Ryan G Ross, PA-C | |
|
625 6th Ave S Ste 450, Saint Petersburg, FL 33701-4629 | |
| (727) 898-2663 | |
| (727) 568-6836 |
| Full Name | Ryan G Ross |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 625 6th Ave S Ste 450, Saint Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023474798 | NPI | - | NPPES |
| 114088100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9115597 (Florida) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AL2993 (Florida) | Secondary |
| Entity Name | Children's Orthopaedic & Scoliosis Surgery Associates, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184609851 PECOS PAC ID: 2163436965 Enrollment ID: O20060201000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan G Ross, PA-C 625 6th Ave S Ste 450, Saint Petersburg, FL 33701-4629 Ph: (727) 898-2663 | Ryan G Ross, PA-C 625 6th Ave S Ste 450, Saint Petersburg, FL 33701-4629 Ph: (727) 898-2663 |
Fallon Lanham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 601 5th St S Ste 302, Saint Petersburg, FL 33701 Phone: 813-505-2377 Fax: 813-200-3491 |
Sherill Albert, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2345 14th St N, Saint Petersburg, FL 33704 Phone: 727-954-0295 |
Shreya Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7330 4th St N, Saint Petersburg, FL 33702 Phone: 727-251-8465 |
Ms. Jamie King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 6th Ave S, Saint Petersburg, FL 33701 Phone: 727-767-8480 Fax: 727-767-8420 |
Marisa Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Tyrone Blvd N, Saint Petersburg, FL 33710 Phone: 727-605-5591 |
Brianna Taylor Nikodem, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5398 Park St N, Saint Petersburg, FL 33709 Phone: 727-544-1441 |
Emily Earle Lenhardt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2299 9th Ave N, Suite 3b, Saint Petersburg, FL 33713 Phone: 727-321-3344 Fax: 727-321-3236 |