Johnny Shane Ross, M.D. – Physical Medicine & Rehabilitation Physician, NPI 1578694139

Johnny Shane Ross, M.D. is a healthcare provider. based in Austin, Texas. specializing in Physical Medicine & Rehabilitation Physician. The organization holds a License No. J6036 (TX). The NPI Number for Johnny Shane Ross, M.D. is 1578694139

Main info

Organization
Name
Johnny Shane Ross, M.D.
NPI
1578694139
Phone
(580) 585-0180
Address
2101 HEADWATER LN
Authorized Official
GINGER R ROSS CORPORATE SECRETARY
Enumeration Date
8 March 2007
Last Update Date
25 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Johnny Shane Ross, M.D.

  • 2101 HEADWATER LN

    AUSTIN, TX 787467858

    Phone: (580) 585-0180

    Type: Mailing

  • 2000 MEDICAL DR

    LAKEWAY, TX 787344200

    Phone: (512) 263-4511

    Fax: (512) 263-4506

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78746)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Johnny Shane Ross, M.D.?
Johnny Shane Ross, M.D. — NPI 1578694139 — is the standard way to identify this listing.
Does CMS list Johnny Shane Ross, M.D. as active?
Yes — Johnny Shane Ross, M.D. is active in the NPI listing used on this page.
What taxonomy line describes Johnny Shane Ross, M.D.?
For research purposes, treat Johnny Shane Ross, M.D. as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Johnny Shane Ross, M.D. based?
Johnny Shane Ross, M.D. is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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