Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derald Ross Jr.

Individual provider Case Manager/Care Coordinator · NPI 1851219869

Derald Ross Jr. is a Case Manager/Care Coordinator in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2717 NW 178th St Apt 805
Edmond, OK 73012-9322
Phone: (405) 339-2996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1851219869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address2717 Nw 178th St Apt 805, Edmond, OK 73012-9322

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