DR. WILLIAM WAGNER ROSE III (NPI# 1619995271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619995271 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WAGNER ROSE III |
| Credential | M.D. |
| Practice Address |
2675 N Decatur Rd Suite 701 Decatur GA 30033-6131 |
| Practice Telephone | 4042996488 |
| Practice Fax Number | 4042997522 |
| Mailing Telephone | 4042996488 |
| Mailing Fax Number | 4042997522 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 045331 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00818529E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518341239 | William Rose | Licensed Practical Nurse | 2903 Via Carrio, Carlsbad, CA 92010-8341 | 2015-07-13 |
| 1790089225 | William N Rose | Psychologist | 71687 Highway 111 Ste 202, Rancho Mirage, CA 92270-4515 | 2010-12-23 |
| 1306915442 | William Oscar Rose | Psychologist | 155 County Road 24, Wayzata, MN 55391-9614 | 2006-11-06 |
| 1306316088 | William Rose | Counselor | 2000 Fairfield Avenue, Shreveport, LA 71104 | 2018-11-26 |
| 1366988321 | William Carroll Rose Jr. | Pharmacist | 303 Nash St W, Wilson, NC 27893-3834 | 2017-01-16 |
| 1780937631 | William Rose | Counselor | 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 | 2012-10-16 |
| 1245533744 | William Briggs Rose Jr. | Pharmacist | 245 Arch Ave, Waynesboro, VA 22980 | 2010-12-06 |
| 1699945469 | William Nicholas Rose | Pathology | 200 Hawkins Dr, C250 Gh, Iowa City, IA 52242-1007 | 2008-03-07 |
| 1003976283 | William Anthony Rose | Pediatrics | 400 Midway Park Drive, Orange Pediatric Associates PC, Middletown, NY 10940 | 2006-12-11 |
| 1932278447 | William Gregory Rose | Dentist | 4550 Eubank Blvd Ne, Suite 201, Albuquerque, NM 87111-3479 | 2006-11-07 |
| Street Address |
2675 N DECATUR RD SUITE 701 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423471 | Tonya Echols Cole | Specialist | 2675 N Decatur Rd, Suite G-03, Decatur, GA 30033-6131 | 2005-08-09 |
| 1609475227 | Olivia Ward | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1154920726 | Tiera Shanae Williams | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1104430859 | Victoria Phan | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-09-01 |
| 1265884985 | Renzo P Gonzalez | Pharmacist | 2675 N Decatur Rd, Suite 101, Decatur, GA 30033-6131 | 2016-07-06 |
| 1033567847 | Amanda Singh | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-06-02 |
| 1033565106 | Kavia Chandra Kreitel | Advanced Practice Midwife | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-05-09 |
| 1154780914 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2675 N Decatur Rd, Suite 303, Decatur, GA 30033-6131 | 2016-02-22 |
| 1851756068 | Ddab, LLC | Nurse Anesthetist, Certified Registered | 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 | 2015-12-15 |
| 1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1679007835 | Sara Gibson | Specialist | 3260 Wakefield Dr, Decatur, GA 30034-4554 | 2017-04-14 |
| 1033660345 | Sabra Services LLC | Specialist | 726 County Road 3250, Decatur, TX 76234-4857 | 2016-10-21 |
| 1154874758 | Erica Nicole West | Specialist | 3446 Newberry Trl, Decatur, GA 30034-3248 | 2016-07-31 |
| 1639552649 | Supreme Healthcare Ob/gyn LLC | Specialist | 5536 Flat Shoals Pkwy, Suite A, Decatur, GA 30034-5408 | 2015-07-08 |
| 1427474766 | Russell Clinding | Specialist | 5036 Snapfinger Woods Dr Ste 217, Decatur, GA 30035-4047 | 2014-03-11 |
| 1598013831 | Total Health Pain Center | Specialist | 4150 Snapfinger Way, Suite 102, Decatur, GA 30035-2711 | 2012-08-16 |
| 1841420510 | Deborah Tawil | Specialist | 118 Barry St, Decatur, GA 30030-3465 | 2009-07-16 |
| 1396973665 | Wanda Denise Nelson | Specialist | 3275 Creekway Ln, Decatur, GA 30034-4909 | 2009-06-25 |
| 1053588731 | David Douglas Shepard | Specialist | 2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132 | 2008-05-13 |
| Find all providers in DECATUR | ||||
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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.