Individual provider Active NPI

Hugh Andrew David Cooper Rosett, PA-C

  • Physician Assistant
  • Laughlin, NV
National Provider Identifier
1164060216
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535
Phone
(702) 508-0308
Fax
(702) 508-9544
NPI assigned
Dec 18, 2019
Last updated
Aug 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535

Mailing address

2311 S Casino Dr Ste a-3
Laughlin, NV 89029-1535
Phone (702) 508-0308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220216002527 AZ Practitioner - Physician Assistant 4880085828 Reassigns benefits to 2 organizations
I20230321000581 NV Practitioner - Physician Assistant 4880085828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2311 S Casino Dr
Laughlin, NV 89029-1535
Phone (702) 508-0308

2585 Miracle Mile
Bullhead City, AZ 86442-7522

8700 S Hwy 95
Mohave Valley, AZ 86440-8519
Phone (928) 768-7113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Feb 9, 2023 Accepting new patients
Tri-State Community Healthcare Center Past Accepting new patients

Locations

8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113

1535 E Colorado St
Glendale, CA 91205

2311 S Casino Dr
Ste A-3
Laughlin, NV 89029
Phone (702) 508-0308

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1164060216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S CASINO DR STE A-3",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890291535",
            "telephone_number": "702-508-0308",
            "fax_number": "702-508-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S CASINO DR STE A-3",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890291535",
            "telephone_number": "702-508-0308",
            "fax_number": "702-508-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSETT",
        "first_name": "HUGH ANDREW",
        "middle_name": "DAVID COOPER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin, NV

Sources for this page

Verify at the official NPI Registry.