DR. JOHN CREIGHTON ROSE (NPI# 1497883326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497883326 |
| Entity Type | Individual |
| Full Name | DR. JOHN CREIGHTON ROSE |
| Credential | PH.D., M.D. |
| Practice Address |
14030 Ne 24th St Ste 104 Bellevue WA 98007-3731 |
| Practice Telephone | 2533416178 |
| Practice Fax Number | 4254589631 |
| Mailing Telephone | 2533416178 |
| Mailing Fax Number | 4254589631 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00031733 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8208282 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568685816 | John W Rose | Dentist | 4520 Lower Terrace Cir Ne, Albuquerque, NM 87111-2563 | 2007-04-11 |
| 1619092202 | John Paul Rose | Physician Assistant | St Luke's Hospital - Critical Care Division, 801 Ostrum Street, Bethlehem, PA 18015 | 2007-03-20 |
| 1073677373 | John B Rose | Marriage & Family Therapist | 29 Orchard Ln, Fredericksburg, PA 17026-9108 | 2006-12-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1275645632 | John S Rose | Dentist | 2302 Center Point Pkwy, Birmingham, AL 35215-3608 | 2006-08-31 |
| 1982617601 | John Barns Rose | Anesthesiology | 3333 Burnet Ave., Ml 2001, Children's Hospital Medical Center, Cincinnati, OH 45229 | 2006-08-14 |
| 1356387641 | John H Rose | Family Medicine | 201 Stadium Drive, Seymour, TX 76380 | 2006-06-22 |
| 1922082627 | John G Rose | Urology | 595 Shrewsbury Ave, Ste 103, Shrewsbury, NJ 07702 | 2005-12-06 |
| 1194720029 | John B. Rose IIi | Dentist | 414 Chatham Square Office Park, Fredericksburg, VA 22405-2561 | 2005-06-16 |
| 1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
| Street Address |
14030 NE 24TH ST STE 104 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
| 1023265188 | Romelia Perez | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 132, Bellevue, WA 98004-3045 | 2008-08-20 |
| 1134385719 | Alicia Grattan Jorgenson | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2008-08-02 |
| 1013177237 | Ashok Shimoji-krishnan | Psychiatry & Neurology | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2008-06-11 |
| 1871648204 | Carola E Bosenberg | Psychiatry & Neurology | 1611 116th Ave Ne, Suite 218, Bellevue, WA 98004-3045 | 2007-01-24 |
| 1053487306 | Edward William Freedman | Psychiatry & Neurology | 1621 114th Ave Se, Suite 221, Bellevue, WA 98004-6956 | 2006-11-28 |
| 1851465959 | Irving J Kohlberg | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1699849703 | John F Pastor | Psychiatry & Neurology | 1300 114th Ave Se, Suite 115, Bellevue, WA 98004-6942 | 2006-11-20 |
| 1609960368 | Andrea Eisner | Psychiatry & Neurology | 1135 116th Ave Ne, Suite 400, Bellevue, WA 98004-4623 | 2006-10-03 |
| Find all providers in BELLEVUE | ||||
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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.