DR. KEVIN G ROSE (NPI# 1245276021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245276021 |
| Entity Type | Individual |
| Full Name | DR. KEVIN G ROSE |
| Credential | M.D. |
| Practice Address |
374 E 400 S Springville UT 84663-1984 |
| Mailing Address |
320 River Park Dr Suite 245 Provo UT 84604-6060 |
| Practice Telephone | 8014918222 |
| Practice Fax Number | 8014918365 |
| Mailing Telephone | 8013757673 |
| Mailing Fax Number | 8013757679 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 5575028-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
5575028-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
5575028-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023414554 | Kevin Rose | Counselor | 304 Tuscola Rd, Bay City, MI 48708-6896 | 2014-11-11 |
| 1760762587 | Kevin Rose | Chiropractor | 2635 Camino Del Rio S, Suite 200, San Diego, CA 92108-3726 | 2011-08-24 |
| 1245369057 | Kevin Rose | Social Worker | 26650 Eureka Rd Ste A, Taylor, MI 48180-4835 | 2007-03-05 |
| 1659425700 | Kevin A Rose | Counselor | 801 Pennsylvania Ave Se, Washington, DC 20003-2167 | 2007-01-23 |
| 1689755027 | Kevin Allen Rose | Chiropractor | 16200 E Amber Valley Drive, Whittier, CA 90604 | 2006-10-18 |
| Street Address |
374 E 400 S |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373411 | Rick W Winward | Optometrist | 374 E 400 S, Suite 1, Springville, UT 84663-1974 | 2005-08-18 |
| 1760545735 | Utah Valley Optometric Physicians | Optometrist | 374 E 400 S, Suite 1, Springville, UT 84663-1974 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710066378 | James Raymond Fowler | Plastic Surgery | 3864 Parkview Cir, Salt Lake City, UT 84124-2319 | 2006-11-03 |
| 1841380466 | William Bradford Rockwell | Plastic Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1194750711 | Daniel S. Sellers M.d. LLC | Plastic Surgery | 620 Medical Dr, Suite 310, Bountiful, UT 84010-5084 | 2006-07-12 |
| 1609818616 | Jon B Bishop | Plastic Surgery | 700 W 800 N, Suite 442, Orem, UT 84057-6301 | 2006-06-12 |
| 1841278942 | Daniel Shane Sellers | Plastic Surgery | 620 Medical Dr, Suite 310, Bountiful, UT 84010-4908 | 2006-01-09 |
| 1851377725 | York J Yates | Plastic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-12-21 |
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on DR. KEVIN G ROSE.
| 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.