Provider Demographics
NPI:1255300521
Name:D ROSS IRONS MD, INC
Entity Type:Organization
Organization Name:D ROSS IRONS MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:IRONS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-547-0574
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:OH
Mailing Address - Zip Code:44811-0179
Mailing Address - Country:US
Mailing Address - Phone:440-716-1283
Mailing Address - Fax:440-716-1605
Practice Address - Street 1:420 W MCPHERSON HWY
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410-1133
Practice Address - Country:US
Practice Address - Phone:419-547-0584
Practice Address - Fax:419-547-8918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-024285208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========00OtherWORKERS COMP
OHDR9345612Medicare ID - Type Unspecified