DR. THOMAS A ROSE (NPI# 1821192204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821192204 |
| Entity Type | Individual |
| Full Name | DR. THOMAS A ROSE |
| Credential | MD |
| Practice Address |
969 Lakeland Drive Jackson MS 39216-4699 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 6012003840 |
| Practice Fax Number | 6012008801 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
15528 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS LICENSE | 15528 | 01 |
| MS | 04352798 | 05 | |
| CA | CA LICENSE | A068681 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154670362 | Thomas Davis Rose Sr. | Physician Assistant | 605 Lord Nelson Ct, Chesapeake, VA 23320-7912 | 2012-09-04 |
| 1740595362 | Thomas Kenyon Rose | Emergency Medicine | 130 Aniska Dr, Gadsden, AL 35901-9133 | 2010-08-09 |
| 1881716033 | Thomas P. Rose | Dentist | 17900 Brookhurst St., Suite C, Fountain Valley, CA 92708-5161 | 2007-04-06 |
| 1336164466 | Thomas D Rose | Chiropractor | 489 N Main St, Richfield, UT 84701-1822 | 2006-07-12 |
| 1780682013 | Thomas A Rose | Family Medicine | 3139 Waverly Dr, Richmond, IN 47374-7156 | 2005-07-11 |
| 1639531098 | Thomas Rose | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-7201 | 2016-03-24 |
| 1477979813 | Thomas Rose | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2014-03-10 |
| 1962626648 | Thomas Allen Rose | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-04-12 |
| 1063636900 | Thomas Michael Rose | Massage Therapist | 417 N Causeway, New Smyrna Beach, FL 32169-5266 | 2007-04-12 |
| 1568521276 | Thomas A Rose | Optometrist | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
| Street Address |
969 LAKELAND DRIVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934047 | James P Almas | Pathology | 969 Lakeland Drive, Jackson, MS 39216-4699 | 2005-07-07 |
| 1194144824 | Matthew David Huckaby | Emergency Medicine | 969 Lakeland Drive, Emergency Department, Jackson, MS 39216 | 2014-04-09 |
| 1760457980 | Randall S Smith | Pathology | 969 Lakeland Drive, Jackson, MS 39216-4699 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049929 | Clay Broders Calcote | Pathology | 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-08-31 |
| 1629015581 | Nagy H Mikhail | Pathology | 29 Overlook Dr, Jackson, NJ 08527-4845 | 2006-06-01 |
| 1306843131 | Joseph N Candelora | Pathology | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2005-07-07 |
| 1215934047 | James P Almas | Pathology | 969 Lakeland Drive, Jackson, MS 39216-4699 | 2005-07-07 |
| 1598181943 | Vikas Nath | Pathology | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-10 |
| 1811313281 | Kristen Adams | Pathology | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-10 |
| 1760808109 | Raveena Reddy | Pathology | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-10 |
| 1811335474 | Stephanie Crabtree Tanner | Pathology | 2500 N State St, Department of Pathology, Jackson, MS 39216-4500 | 2013-06-05 |
| 1649613670 | Sarika Prakash Jain | Pathology | 2500 N State St, Jackson, MS 39216 | 2013-04-09 |
| 1023362456 | Kathryn B Brown | Pathology | 1225 N State St, Jackson, MS 39202-2064 | 2012-11-07 |
| Find all providers in JACKSON | ||||
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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.