Robert J Rose, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD00017397 Issued in WA

Practice address

9405 N Newport Hwy
Spokane, WA 99218-1242

Phone

(509) 484-6000

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1114035748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28780",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992288780",
            "telephone_number": "509-484-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 N NEWPORT HWY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181242",
            "telephone_number": "509-484-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "MD00017397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose
• Jessica Taryn Rose
• Kimberly Rose, MA
• Krystal Kim Rose
• Mary Rose
• Shea Rose, LMT
• Sonya Elizabeth Rose
• Sonya Severson Rose, LMHC, LMFT
• Stacey Ann Rose, MSW, LICSW
• Stephanie Lejane Rosebrook

• Adult Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.