Basic Information
Provider Information
NPI: 1942697610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGGS
FirstName: ROSS
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 217 HARRISBURG AVE
Address2:  
City: LANCASTER
State: PA
PostalCode: 176032964
CountryCode: US
TelephoneNumber: 7175448300
FaxNumber:  
Practice Location
Address1: 217 HARRISBURG AVE
Address2:  
City: LANCASTER
State: PA
PostalCode: 176032964
CountryCode: US
TelephoneNumber: 7175448300
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/21/2015
LastUpdateDate: 06/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XOS019017PAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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