ROSS CAMPBELL DEJARNATT
NPI 1104453620
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Q: What is Ross Dejarnatt's NPI number?

The NPI number for Ross Dejarnatt is 1104453620. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Ross Dejarnatt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ross Dejarnatt was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2020PECOS Enrolled

2000 CANAL ST, NEW ORLEANS, LA 70112(504) 702-3000 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Mar 25, 2020 (2 updates tracked since 2020).

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About Ross Campbell Dejarnatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSS CAMPBELL DEJARNATT (NPI 1104453620) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1104453620

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROSS CAMPBELL DEJARNATT

Location Address2000 CANAL STNew Orleans, LA 70112-3018

Mailing Address2401 S 31st StTemple, TX 76508-0001 · (254) 724-0108 · Fax (254) 724-8067

Phone(504) 702-3000

Sole ProprietorYes

Enumeration DateMarch 25, 2020

Last NPPES UpdateMay 8, 20232 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1104453620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2000 CANAL ST, New Orleans, LA 70112

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Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-0001 · Phone (254) 724-0108 · Fax (254) 724-8067

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ross Campbell Dejarnatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE COZAD M.D.

Family Medicine