Individual provider Active NPI

Caitlin Pennington Rosemore, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1205581113
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1941 Issued in AL
Practice address
2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone
(205) 784-6330
NPI assigned
Feb 18, 2022
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 1941 AL Primary

Addresses

Primary practice location

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804

Mailing address

1206 34TH St S Apt 2
Birmingham, AL 35205-1533
Phone (205) 784-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220324000798 AL Practitioner - Physician Assistant 3870988082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Associated PCGroup PAC ID 6204739519, shared by 3 NPIs, 418 clinicians

Practice addresses (Care Compare)

1000 1St N St
Alabaster, AL 35007-8703
Phone (412) 822-7410

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (412) 822-7410

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (412) 822-7410

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (412) 822-7410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1941ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists Associated PC CurrentSince Feb 18, 2022 Accepting new patients
Anesthesiologists Associated PC CurrentSince Feb 18, 2022 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

701 Princeton Ave SW
Ste Crs
Birmingham, AL 35211

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Organizations & group practices 2

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 3

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1205581113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 34TH ST S APT 2",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051533",
            "telephone_number": "205-784-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096804",
            "telephone_number": "205-784-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMORE",
        "first_name": "CAITLIN",
        "middle_name": "PENNINGTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.