MRS. LESLIE LEE ROSE (NPI# 1790155273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790155273 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE LEE ROSE |
| Credential | PA-C |
| Practice Address |
1521 Gull Rd Suite 174a Kalamazoo MI 49048-1640 |
| Practice Telephone | 2692265165 |
| Practice Fax Number | 2692265166 |
| Mailing Telephone | 2692265165 |
| Mailing Fax Number | 2692265166 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007493 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649400 | Leslie Rose | Internal Medicine | 1055 Clermont St (111g), Denver, CO 80020 | 2007-01-26 |
| 1689286064 | Leslie Rose | Student in an Organized Health Care Education/Training Program | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-08-18 |
| 1669027611 | Leslie Jayne Rose | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-08-07 |
| 1629266184 | Leslie Diane Rose | Physician Assistant | 350 7th St N, Naples, FL 34102-5754 | 2007-10-10 |
| 1821280454 | Leslie Rose | Speech-Language Pathologist | 7545 Bosque Blvd, Waco, TX 76712-3713 | 2007-08-17 |
| 1902863079 | Leslie W. Rose IIi | Internal Medicine | 7605 Forest Ave, Suite 100, Richmond, VA 23229-4938 | 2006-05-01 |
| Street Address |
1521 GULL RD SUITE 174A |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033939 | Midwestern Pathology, PC | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2005-06-17 |
| 1164038667 | Emily Thurnherr | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-09-20 |
| 1578180899 | Ceara Elaina Sibley | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-07-02 |
| 1770108508 | Emily Krumbach | Pharmacist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-08 |
| 1700400686 | Emily Mccollum | Psychologist | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-06-05 |
| 1316568850 | Adraya Gabrielle Garrett | Social Worker | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-05-06 |
| 1114551272 | Brandy Lee Ford | Internal Medicine | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-27 |
| 1689206120 | Olivia Foote | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1666 | 2020-02-12 |
| 1962035402 | Shannon Nicole Hepler | Registered Nurse | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2020-02-12 |
| 1346887130 | Bethany Paige Flanagan | Dietitian, Registered | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1619574654 | Conor Mccabe | Physician Assistant | 2413 Logan Ave, Kalamazoo, MI 49008-3949 | 2020-10-02 |
| 1134766942 | Scott E Boyd | Physician Assistant | 8071 N 6th St, Kalamazoo, MI 49009-8808 | 2019-12-01 |
| 1720566847 | Lydia Chardel Bruenjes | Physician Assistant | 6565 W Main St #100, Kalamazoo, MI 49009-9199 | 2018-07-31 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1467901892 | Brian Christopher Rensch | Physician Assistant | 916 Austin St, Kalamazoo, MI 49008-1105 | 2016-09-27 |
| 1427415462 | Katelyn Vasicek | Physician Assistant | 601 John St Ste M-302, Kalamazoo, MI 49007 | 2016-01-21 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1700291549 | Lauren Gilbertson | Physician Assistant | 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 | 2014-06-30 |
| 1447445002 | Jennifer Hurtt | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2007-09-07 |
| Find all providers in KALAMAZOO | ||||
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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.