MRS. RITA JEAN ROSE (NPI# 1487706859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487706859 |
Entity Type | Individual |
Full Name | MRS. RITA JEAN ROSE |
Credential | PA-C |
Practice Address |
2104 E. 11 Mile Road Suite 600 Warren MI 48091 |
Practice Telephone | 5867586222 |
Practice Fax Number | 5867586232 |
Mailing Telephone | 5867586222 |
Mailing Fax Number | 5867586232 |
Enumeration Date | 2007-01-17 |
Last Update Date | 2014-03-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003424 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659658318 | Rita B Rose | Physician Assistant | 1237 Alameda St, Norman, OK 73071-3006 | 2011-11-09 |
1356519698 | Rita M Rose | Nutritionist | 10 Benton Avenue, Middletown, NY 10940 | 2008-02-20 |
Street Address |
2104 E. 11 MILE ROAD SUITE 600 |
City | WARREN |
State | MI |
Zip Code | 48091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
1720046188 | Superior Air-ground Ambulance Service of Michigan, Inc | Ambulance | 2000 Centerwood Dr, Warren, MI 48091 | 2006-05-03 |
Find all providers in zip 48091 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720481476 | Samantha Reidt | Physician Assistant | 30957 Lorraine Ave, Warren, MI 48093-8014 | 2014-10-08 |
1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
1447331459 | Michelle Elizabeth Cruz | Physician Assistant | 2104 E 11 Mile Rd Ste 600, Warren, MI 48091-6123 | 2006-10-17 |
1003416165 | Alexis Rose Vavala | Physician Assistant | 1885 Market St, Warren, PA 16365-1277 | 2020-10-28 |
1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
1245758739 | Haley Hani Matty | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089 | 2017-09-05 |
1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
1942671169 | Stephanie Duda | Physician Assistant | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-10-14 |
Find all providers in WARREN |
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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.