Provider Demographics
NPI:1821051483
Name:ROSS, ANDREW M (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:ROSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2293 SUGAR HILL RD STE A
Mailing Address - Street 2:BLUE RIDGE CARDIOLOGY
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7787
Mailing Address - Country:US
Mailing Address - Phone:828-580-1364
Mailing Address - Fax:828-655-2343
Practice Address - Street 1:2293 SUGAR HILL RD STE A
Practice Address - Street 2:BLUE RIDGE CARDIOLOGY
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7787
Practice Address - Country:US
Practice Address - Phone:828-580-1364
Practice Address - Fax:828-655-2343
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2016-12-05
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Provider Licenses
StateLicense IDTaxonomies
NC200100274207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCG7614OtherRAILROAD MEDICARE GROUP
NC12872OtherBCBS OF NC PROVIDER ID#
NC291000OtherALLIANCE MAPSI INDIVIDUAL
NC562128647OtherTRICARE GROUP #
NCA7064OtherMEDCOST INDIVIDUAL #
NC8912872Medicaid
NCA7064OtherMEDCOST INDIVIDUAL #
NCC90836Medicare UPIN