Active NPI
Rose L Glynne, MD
- Obstetrics & Gynecology Physician
- Paragould, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E-8911
- Practice address
- 1110 W Kingshighway
Paragould, AR 72450-4164 - Phone
- (870) 205-2000
- Fax
- (870) 205-2001
- NPI assigned
- Aug 10, 2005
- Last updated
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 36353 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | E-8911 | AR | Primary |
Addresses
Primary practice location
1110 W Kingshighway
Paragould, AR 72450-4164
Mailing address
1000 W Kingshighway Ste 14
Paragould, AR 72450-4197
Phone (870) 239-8591
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36353 | Other | NC | LICENSE |
| 206899001 | Medicaid | AR | |
| 89013T3 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 S Mount Auburn Rd
Suite 200
Cape Girardeau, MO 63703-4941
Phone (573) 339-1101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8911 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Paragould Obstetrics and Gynecology, PLLC | Past | Accepting new patients | |
| Southeast Hospital | Past | Accepting new patients | |
| Eastern Carolina Ear, Nose & Throat-Head & Neck Surgery, Inc | Past | Accepting new patients |
Locations
650 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone (573) 339-1101
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
Interoperability endpoints
- rose.glynne@ammcps.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Southeast
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
- Specialist
- Paragould, AR
- NPI 1316180284
-
- Specialist
- Greenville, NC
- NPI 1912957606
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1093717035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W KINGSHIGHWAY STE 14",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504197",
"telephone_number": "870-239-8591",
"fax_number": "870-239-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W KINGSHIGHWAY",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504164",
"telephone_number": "870-205-2000",
"fax_number": "870-205-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYNNE",
"first_name": "ROSE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "36353",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-8911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "36353",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206899001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013T3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.