DR. COLIN A ROSE (NPI# 1104901347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104901347 |
| Entity Type | Individual |
| Full Name | DR. COLIN A ROSE |
| Credential | M.D. |
| Practice Address |
202 Maplewood Ave Ronceverte WV 24970-1334 |
| Mailing Address |
Po Box 671 Lewisburg WV 24901-0671 |
| Practice Telephone | 3046454043 |
| Practice Fax Number | 3046454713 |
| Mailing Telephone | 3046454043 |
| Mailing Fax Number | 3046454713 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17710 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0120309000 | 05 | |
| WV | WV WORKERS COMP | 1058352 | 01 |
| WV | MAMSI | 288546 | 01 |
| ANTHEM BCBS | 462502 | 01 | |
| WV | MTN STATE BCBS | 001722063 | 01 |
| WV | FEDERAL WKRS COMP/BL | 010097983 | 01 |
| WV | RAILROAD MCARE | 300126637 | 01 |
| CHAMPUS | 55073865301 | 01 |
| Street Address |
202 MAPLEWOOD AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071285 | Leslie Abigail Winters | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2005-08-30 |
| 1689054363 | Anastasia Yi | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2015-06-08 |
| 1184968562 | Atomic Anesthesia Pllc | Anesthesiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2012-11-26 |
| 1093092033 | Jessica R Davis | Nurse Anesthetist, Certified Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-11-04 |
| 1427338979 | Yelena V Johnson | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-27 |
| 1396024014 | Jessica Sue Aliff | Family Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2011-08-11 |
| 1780993261 | Emilee Pack | Dietitian, Registered | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-09-30 |
| 1447581434 | Greenbrier Vmc, LLC | Clinic/Center | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2010-01-15 |
| 1306170048 | Ronceverte Physician Group LLC | Internal Medicine | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-09-29 |
| 1003048323 | Brian Rodgers | Registered Nurse | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982722492 | Avalon Radiology Inc | Radiology | 202 Maplewood Ave, Radiology Department, Ronceverte, WV 24970-1334 | 2007-03-26 |
| 1407931637 | David C Maki | Radiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-10-26 |
| 1205887445 | Valley Imaging Consultants Inc. | Radiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-05-12 |
| 1184692980 | Heather J Rose | Radiology | 202 Maplewood Ave, Ronceverte, WV 24970-1334 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555418 | Greenbrier Signature Health Inc | Radiology | 40823 Midland Trl E, White Sulphur Springs, WV 24986-5064 | 2019-03-01 |
| 1588149348 | East Mountain Health Physicians, Inc. | Radiology | 97 Administrative Dr Ste 200a, Martinsburg, WV 25404-6378 | 2018-09-27 |
| 1942612197 | Health and Education Building-urgent Care | Radiology | 390 Birch Street Suite B, Morgantown, WV 26506-6894 | 2014-05-22 |
| 1467795591 | Philip Connor Louden | Radiology | 1 Medical Center Dr, Room 1144, Morgantown, WV 26506 | 2013-03-27 |
| 1639417728 | Paul Lewis Kupferberg | Radiology | 122 Wedgewood Dr, Parkersburg, WV 26104-9229 | 2013-01-23 |
| 1871818872 | Cara M Bryan | Radiology | 1 Medical Center Drive 9001a, Morgantown, WV 26506 | 2010-04-01 |
| 1114109683 | Community Health Systems Inc. | Radiology | 200 Carriage Dr, Beckley, WV 25801-2876 | 2007-11-27 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1275671117 | Krishnajivan Chhabildas Shah | Radiology | 466 Irish St, Summersville, WV 26651-1818 | 2007-02-02 |
| 1194810796 | Michael Christopher Macatol | Radiology | 1320 12th St, B3, Huntington, WV 25701 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.