Provider Demographics
NPI:1982600011
Name:KAPLAN, ROSS STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:STUART
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 LAS POSAS RD
Mailing Address - Street 2:STE F100
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1479
Mailing Address - Country:US
Mailing Address - Phone:805-484-2813
Mailing Address - Fax:805-484-2316
Practice Address - Street 1:3615 LAS POSAS RD
Practice Address - Street 2:STE F100
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1479
Practice Address - Country:US
Practice Address - Phone:805-484-2813
Practice Address - Fax:805-484-2316
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55764207N00000X, 207NS0135X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
77-0545291OtherTAX ID
77-0545291OtherTAX ID
CAG93546Medicare UPIN