Provider Demographics
NPI:1467344259
Name:ROSS, NOAH BRYAN
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:BRYAN
Last Name:ROSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 ARBOR GATE CT
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-9227
Mailing Address - Country:US
Mailing Address - Phone:501-701-3553
Mailing Address - Fax:
Practice Address - Street 1:138 ARBOR GATE CT
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-9227
Practice Address - Country:US
Practice Address - Phone:501-701-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program