Ross, Micaela
Ross, Micaela is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Ross, Micaela can be contacted via phone (859) 301-2000.Contact Information
Primary practice address
1 Medical Village Dr
Edgewood KY 41017-3403
Phone: (859) 301-2000
Fax: (859) 301-2073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 41791 | Kentucky |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 35089779 | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01065390A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 01065390A | Indiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 41791 | Kentucky |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 41791 | Kentucky |
Profile Details
| NPI number | 1235346453 |
|---|---|
| LBN Legal business name | Ross, Micaela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Apr 6th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235346453 | NPPES |
| Indiana | MEDICAID | 200931560 | |
| Indiana | MEDICAID | 7100038690 | |
| Indiana | MEDICAID | 2789648 |
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