Gary L. Rose, DNP, FNP, ENP, APRN

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

ME007961 Issued in SC

Practice address

1755 Ashley Hall Rd Apt E2
Charleston, SC 29407-3815

Phone

(843) 693-8385

NPI assigned

Aug 5, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1023628898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 ASHLEY HALL RD APT E2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073815",
            "telephone_number": "843-693-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 ASHLEY HALL RD APT E2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073815",
            "telephone_number": "843-693-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, ENP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-03-28",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "00007961-A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "ME007961",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "ME007961",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "ME007961",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "SC",
            "license": "ME007961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAMSA",
            "identifier": "0000007961",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Lynn Rosa, DO
• Keenan Rosado, PA-C
• Renee Michelle Rosati, D.O.
• Frances Jane Rosato, RBT
• Charelle Rose
• Heather Liszka Rose, MD
• Janet Rose, PH.D.
• Katherine Rose, M.D.
• George L Rosebrock Jr., MD
• Michelle W Rosecrans, CRNA

• Addiction Medicine (Anesthesiology) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Addiction Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.