Provider Demographics
NPI:1699714931
Name:ROSS, BARRY AARON (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:AARON
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2920 N CASCADE AVE
Mailing Address - Street 2:FL 3
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6262
Mailing Address - Country:US
Mailing Address - Phone:719-636-1201
Mailing Address - Fax:719-636-1326
Practice Address - Street 1:2535 S DOWNING ST
Practice Address - Street 2:SUITE 360
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-260-2740
Practice Address - Fax:303-260-2741
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT130867207RG0100X
CODR.0060405207RG0100X
RIMD11738207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT003130002Medicaid
RIGS24547Medicaid
CT003130002Medicaid
CT100000397Medicare ID - Type Unspecified
I28664Medicare UPIN