Provider Demographics
NPI:1821096603
Name:ROSS, FRANCES RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:RENEE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8335 WHITE DR
Mailing Address - Street 2:
Mailing Address - City:CORD
Mailing Address - State:AR
Mailing Address - Zip Code:72524-9636
Mailing Address - Country:US
Mailing Address - Phone:870-307-3937
Mailing Address - Fax:
Practice Address - Street 1:1604 S PINE ST STE C
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3863
Practice Address - Country:US
Practice Address - Phone:501-628-8642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7952207VX0000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR125029001Medicaid
AR5B195Medicare PIN
AR5J324Medicare PIN
AR125029001Medicaid
AR5J324GA32Medicare PIN