Provider Demographics
NPI:1508809039
Name:ROSS, BARRY S (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:S
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3001 CORAL HILLS DR
Mailing Address - Street 2:250
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4172
Mailing Address - Country:US
Mailing Address - Phone:954-721-5400
Mailing Address - Fax:954-724-8004
Practice Address - Street 1:3001 CORAL HILLS DR
Practice Address - Street 2:250
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4172
Practice Address - Country:US
Practice Address - Phone:954-721-5400
Practice Address - Fax:954-724-8004
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME69824207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251506700Medicaid
G49065Medicare UPIN
FL45080ZMedicare PIN