Henry S Rose (NPI# 1821016270, PAC ID# 2769447754) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1821016270 |
| PAC ID by PECOS | 2769447754 |
| Professional Enrollment ID | I20050512000451 |
| Full Name | Henry S Rose |
| Organization Legal Name | ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, PC |
| Address |
4660 Kenmore Ave Alexandria VA 22304-1313 |
| Phone Number | 7038243260 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4486567898 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490040 | INOVA ALEXANDRIA HOSPITAL |
| 490122 | INOVA MOUNT VERNON HOSPITAL |
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 7038243260 | ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, PC |
| 6355 Walker Lane, Alexandria, VA 22310-3245 | 7036647453 | ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, PC |
| Organization Legal Name | ASSOCIATION OF ALEXANDRIA RADIOLOGISTS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arina Vanbreda | Diagnostic Radiology | Association of Alexandria Radiologists, PC | 9321 Sanger St, Lorton, VA 22079-2720 |
| John D Grimme | Diagnostic Radiology | Association of Alexandria Radiologists, PC | 171 Lawrence St, Eugene, OR 97401-2221 |
| Street Address |
4660 KENMORE AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22304-1313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ahdoot | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Stefano F Agolini | General Surgery | 4660 Kenmore Ave, Suite 419, Alexandria, VA 22304-1306 | |
| Cheri Adgerson | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Samita Sally Goyal | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Dodd A. Sims | Internal Medicine | Nv Healthcare Partners Inc | 4660 Kenmore Ave, Suite 710, Alexandria, VA 22304-1306 |
| Azra Ashraf | Plastic and Reconstructive Surgery | Affiliates In Plastic Surgery, LLC | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1306 |
| Tabitha Andre | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Nicholas Ellyn | Ophthalmology | Richard Huberman M.d. and Alan J. Pollack M.d., Ltd. | 4660 Kenmore Ave, Suite 416, Alexandria, VA 22304-1306 |
| Soraia Dpm Refq | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Nora Graham | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marvin Chadab | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Ronald Barkin | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| Carla E Ribeiro-bachtell | Podiatry | 4660 Kenmore Ave, Suite 602, Alexandria, VA 22304-1300 | |
| Joel M Temme | Internal Medicine | 4660 Kenmore Ave, Suite 604, Alexandria, VA 22304-1300 | |
| Bruce David Glassman | Dermatology | Advanced Dermatology of Virginia Inc | 4660 Kenmore Ave, Suite 500, Alexandria, VA 22304-1300 |
| Suresh K Malhotra | Gastroenterology | Advanced Digestive Care LLC | 4660 Kenmore Ave, Suite 810, Alexandria, VA 22304-1300 |
| David Giammittorio | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Jeffrey L Graziano | Podiatry | Abraham A Coster Dpm Ltd | 4660 Kenmore Ave, Suite 608, Alexandria, VA 22304-1306 |
| Anne C Kisthardt | Obstetrics/gynecology | The Physician and Midwife Collaborative Practice | 4660 Kenmore Ave, Suite 902, Alexandria, VA 22304-1306 |
| Jeffrey R Rothman | Oral Surgery | Alexandria Oral Surgery, PC | 4660 Kenmore Ave, Suite 204, Alexandria, VA 22304-1306 |
| Find all physicians in zip 22304 | |||
| City | ALEXANDRIA |
| Zip Code | 22304 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ALEXANDRIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Henry S Rose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.