{"npi":"1053384818","type":"NPI-1","status":"active","name":{"display":"Dr. Kelly Ross DO","other":[],"first":"KELLY","last":"ROSS","middle":"L.","credential":"DO"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"MO","license":"2005023176"}]},"addresses":[{"purpose":"LOCATION","street_1":"2305 SOUTH 65 HIGHWAY","city":"MARSHALL","state":"MO","postal_code":"653403702","country_code":"US","phone":"6608868414","fax":"6608313325"},{"purpose":"MAILING","street_1":"2305 SOUTH 65 HIGHWAY","city":"MARSHALL","state":"MO","postal_code":"653403702","country_code":"US","phone":"6608313553","fax":"6608313325"}],"license":{"state":"MO","number":"2005023176"},"identifiers":[{"type_code":"01","label":"Other","value":"P00266071","state":"MO","issuer":"RAIL ROAD MEDICARE"},{"type_code":"05","label":"Medicaid","value":"207593807","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050927000817","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"MO","pac_id":"5193750313"}]},"enumeration_date":"2006-02-10","last_updated":"2021-08-25","_meta":{"source":"NPPES","snapshot_date":"2021-08-25","doc_url":"https://findmynpi.com/api"}}