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

Mrs. Shawn Kathleen Ross, MD

Individual provider Family Medicine Physician · NPI 1659477180

Mrs. Shawn Kathleen Ross, MD is a Family Practice in Lakeside Park, Kentucky. Qualified in 1984, 42 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
42
Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 Chamber Center Dr
Lakeside Park, KY 41017-1686
Phone: (859) 341-3114
Fax: (859) 578-2156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25375 (KY)

Record details

NPI number1659477180
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lakeside Park