Active NPI
Carroll Rose, MD
- Surgery Physician
- Tazewell, TN
National Provider Identifier
1144580473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CARROLL ROSE, MD
- Practice address
- 1610 Tazewell Rd
Ste 301
Tazewell, TN 37879-3600 - Phone
- (423) 626-4288
- Fax
- (423) 626-1101
- NPI assigned
- May 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carroll E. Rose, MD
- Title
- Owner
- Phone
- (423) 626-4288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TN | Primary |
Addresses
Primary practice location
1610 Tazewell Rd
Ste 301
Tazewell, TN 37879-3600
Mailing address
PO Box 1679
New Tazewell, TN 37825-1679
Phone (865) 670-6199
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Tazewell, TN
- NPI 1407857352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338249600000",
"number": "1144580473",
"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": "865-670-6199",
"fax_number": "865-670-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 TAZEWELL RD",
"address_2": "STE 301",
"city": "TAZEWELL",
"state": "TN",
"postal_code": "378793600",
"telephone_number": "423-626-4288",
"fax_number": "423-626-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLL ROSE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-29",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "CARROLL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-626-4288",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.