MRS. ROSE M ROSS (NPI# 1225069412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225069412 |
| Entity Type | Individual |
| Full Name | MRS. ROSE M ROSS |
| Credential | FNP |
| Practice Address |
1910 E Miller Rd Fairview MI 48621-8731 |
| Mailing Address |
1910 E Miller Rd Po Box 460 Fairview MI 48621-8731 |
| Practice Telephone | 9898485484 |
| Practice Fax Number | 9898487139 |
| Mailing Telephone | 9898485484 |
| Mailing Fax Number | 9898487139 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704091848 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 5008773530 | 01 |
| MI | DEA | MR0951877 | 01 |
| MI | BC GROUP PIN | 700G210140 | 01 |
| MI | 4747166 | 05 | |
| MI | 4747175 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483963 | Rose Ross | Psychologist | 1425 Woodmill Dr, Dover, DE 19904-7710 | 2020-10-01 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| Street Address |
1910 E MILLER RD |
| City | FAIRVIEW |
| State | MI |
| Zip Code | 48621-8731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108780 | Mclaren Primary Care | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-07-01 |
| 1285281709 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2019-08-20 |
| 1134408511 | Mclaren Bay Region | Internal Medicine | 1910 E Miller Rd, Fairview, MI 48621 | 2011-08-16 |
| 1174776207 | Fairview Clinic Plc | Clinic/Center | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2008-11-03 |
| 1396874988 | Susan Lynn Allred | Social Worker | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2007-03-02 |
| 1730197278 | Cheryl Henry | Nurse Practitioner | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-08-03 |
| 1770534836 | Hector Carrion | Family Medicine | 1910 E Miller Rd, Fairview, MI 48621-8731 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396075602 | Peggy Kay Fortin | Counselor | 1392 Maple Dr, Fairview, MI 48621-8703 | 2010-01-08 |
| 1730177015 | Ausable Valley Continuing Care Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1390 Maple Dr, Fairview, MI 48621-8703 | 2005-10-11 |
| 1033695127 | Alora Ehlert | Occupational Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-07-12 |
| 1780187526 | Mayuree Gopal Sawant | Physical Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-03-16 |
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1003253170 | Northsport Physical Therapy & Rehabilitation PC | Physical Therapist | 1968 E Miller Rd, Fairview, MI 48621-8717 | 2013-05-30 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| 1760848162 | Courtney Marie Bolen | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2016-01-14 |
| 1467674440 | Fairview Chiropractic Pllc | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2007-05-02 |
| Find all providers in zip 48621 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| 1033733589 | Jennifer Renee Ramm | Nurse Practitioner | 1320 Mulberry Ln, Fairview, PA 16415-1562 | 2020-06-01 |
| 1053976985 | Evelyne N Epie | Nurse Practitioner | 356 Benton Ave, Fairview, TX 75069-6811 | 2019-05-06 |
| 1578058764 | Natalie Organ | Nurse Practitioner | 225 E 100 S, Fairview, UT 84629 | 2018-06-29 |
| 1598212664 | Megan Leigh Ewing | Nurse Practitioner | 519 East State Road, Fairview, OK 73737 | 2016-09-07 |
| 1639533912 | Julie Wilson | Nurse Practitioner | 2377 Fairview Blvd, Fairview, TN 37062-6003 | 2016-04-12 |
| 1740654458 | Nicolette Stephens | Nurse Practitioner | 7130 New Hope Rd, Fairview, TN 37062 | 2015-11-18 |
| 1134408461 | Sandra Sue Jones | Nurse Practitioner | 2727 Fairview Blvd, Fairview, TN 37062-9088 | 2011-08-04 |
| 1235746496 | Jacquelyn M Roman | Nurse Practitioner | 175 Bergen Blvd, Fairview, NJ 07022-1619 | 2020-09-30 |
| 1750849485 | Dee Laura Hamburg | Nurse Practitioner | 35511 County Road 134, Fairview, MT 59221-9465 | 2019-03-12 |
| Find all providers in FAIRVIEW | ||||
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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.