Provider Demographics
NPI:1578663118
Name:ROSS, ASHLEY S (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CHILDREN'S WAY
Mailing Address - Street 2:SLOT # 653
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3510
Mailing Address - Country:US
Mailing Address - Phone:501-364-1100
Mailing Address - Fax:501-364-4264
Practice Address - Street 1:1 CHILDREN'S WAY
Practice Address - Street 2:SLOT # 653
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3510
Practice Address - Country:US
Practice Address - Phone:501-364-1100
Practice Address - Fax:501-364-4264
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2010-02-18
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Provider Licenses
StateLicense IDTaxonomies
ARE-38092080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160406001Medicaid
ARP00423653OtherRAILROAD MEDICARE
ARI52165Medicare UPIN
AR160406001Medicaid