DIANE ROSS MD
NPI 1639566060
Specialist in Gulfport, MS

Active since April 23, 2015
749 OAKLEIGH AVE, GULFPORT, MS 39507(228) 896-3317(228) 896-3314 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Ross Md NPPES

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

DIANE ROSS MD (NPI 1639566060) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since April 2015. The organization lists Diane E Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1639566060
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDIANE ROSS MD
Location Address749 OAKLEIGH AVEGulfport, MS 39507-3809
Mailing Address2160 E Pass Rd Ste DGulfport, MS 39507-3801 · (228) 896-3317 · Fax (228) 896-3314
Fax(228) 896-3314
Organization SubpartNo
Authorized OfficialDiane E RossOwner · (228) 896-3317
Enumeration DateApril 23, 2015
NPI 1639566060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
749 OAKLEIGH AVE, Gulfport, MS 39507

Other Identifiers 1

Medicaid00010874MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Neurology)
749 OAKLEIGH AVE
GULFPORT, MS 39507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Ross MD's NPI number?

The NPI number for Diane Ross MD is 1639566060. It was assigned to this organization in the NPPES registry on April 23, 2015.

Where is Diane Ross MD located?

Diane Ross MD is located at 749 Oakleigh Ave, Gulfport, MS 39507. The listed phone number is (228) 896-3317.

What is Diane Ross MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Diane Ross MD was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.