Martin Phillip Rose, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1042882 Issued in GA

Practice address

2501 Oakington St
Apg, MD 21005-5131

Phone

(410) 278-5356

NPI assigned

Dec 14, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184609034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 SEVEN TRAILS CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012628",
            "telephone_number": "410-278-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OAKINGTON ST",
            "city": "APG",
            "state": "MD",
            "postal_code": "210055131",
            "telephone_number": "410-278-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARTIN",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "1042882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Jean Alba, LPN
• Kelvin Bernard Albright Jr., N/A
• David Joseph Hilber, O.D., F.A.A.O
• Andrea W Huson, R.N.
• Denise Lynn McKinney, CRNP
• Vivian Carol Rush, MD, MPH
• Colleen C. Shull, D.M.D.

• Medical Physician Assistant in Apg, MD
• Providers in Apg, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.