Gail Sue-Ann Rose-Green, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0084290 Issued in MD

Practice address

PM Pediatrics of Annapolis
Festival at Riva Shopping Center, 2301-a Forest Drive
Annapolis, MD 21401

Phone

(410) 266-6767

Fax

(410) 266-6761

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gail.rose@pmuc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of Watertown P.C.

  • Pediatrics Physician
  • Watertown, NY
  • NPI 1497855670
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1073704151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 DARK HAWK CIR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455614",
            "telephone_number": "276-886-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PM PEDIATRICS OF ANNAPOLIS",
            "address_2": "FESTIVAL AT RIVA SHOPPING CENTER, 2301-A FOREST DRIVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-6767",
            "fax_number": "410-266-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE-GREEN",
        "first_name": "GAIL",
        "middle_name": "SUE-ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "268459",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0084290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03323842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Rorie
• Yolanda A. Rosales, RN-COMMUNITY HEALTH
• Allison J Rosati, PTA, RD
• Katherine M Rosati, BCBA
• Justin Theodore Roscoe, M.D.
• Michelle Lee Rose, PH.D.
• Abby Rosen, PH.D.
• Boaz Dov Rosen, MD
• Susan Clare Rosen, OT
• Martin J Rosenberg, M.D.

• Pediatrics Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.