Organization Active NPI

Carroll Rose, MD

  • Surgery Physician
  • Tazewell, TN
National Provider Identifier
1144580473
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on May 29, 2012

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

Authorized official

Name
Carroll E. Rose, MDNPI 1407857352
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.