Organization Active NPI

DRS Rose and Thomas

  • Surgery Physician
  • Middlesboro, KY
National Provider Identifier
1114133055
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DRS ROSE AND THOMAS
Practice address
123 N 19TH St
Middlesboro, KY 40965
Phone
(606) 248-7509
Fax
(606) 248-5917
NPI assigned
May 15, 2007
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Mrs. Sharon Dawn Harold, LPN OFFICE MANAGER
Title
LPN Office Manager
Phone
(606) 248-7509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X KY Primary

Addresses

Primary practice location

123 N 19TH St
Middlesboro, KY 40965

Mailing address

PO Box 1679
New Tazewell, TN 37825-1679
Phone (423) 626-4288

Other identifiers 1

IdentifierTypeStateIssuer
65941957MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1114133055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1679",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378251679",
            "telephone_number": "423-626-4288",
            "fax_number": "423-626-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-7509",
            "fax_number": "606-248-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ROSE AND THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "HAROLD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LPN OFFICE MANAGER",
        "authorized_official_telephone_number": "606-248-7509",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941957",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.