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Johnny Shane Ross, M.D.

Physical Medicine & Rehabilitation Physician in Temple, TX · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104935030

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Registry record

Entity type Individual (Type 1)
Name Johnny Shane Ross
Credential M.D.
Sex Male
Practice address 2401 S 31st St Bldg 35, Temple, TX, 76508
Phone (254) 724-2111
Fax (512) 263-4506
Enumeration date Aug 30, 2006
Last updated in NPPES Oct 23, 2024

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License J6036 (TX) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0479743 02 Medicaid TX -
J6036 Other TX TX LICENSURE MEDICAL BOARD
142726600 Other - US DEPARTMENT OF LABOR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Johnny Ross?
The National Provider Identifier (NPI) for Johnny Ross is 1104935030, a Type 1 (individual) record in the CMS NPPES registry.
Where does Johnny Ross practice?
The practice location on file with NPPES is in Temple, TX. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-23.