Individual provider Active NPI

Steve E Rose, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Tulsa, OK
National Provider Identifier
1245334739
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2581 Issued in OK
Practice address
8803 S. 101St E. Ave
Suite 360
Tulsa, OK 74133
Phone
(918) 582-0001
Fax
(918) 582-0003
NPI assigned
Sep 12, 2006
Last updated
Apr 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2581 OK Primary

Addresses

Primary practice location

8803 S. 101St E. Ave
Suite 360
Tulsa, OK 74133

Mailing address

PO Box 26303
Oklahoma City, OK 73126-0303
Phone (918) 582-0001

Other identifiers 3

IdentifierTypeStateIssuer
2450196903MedicaidKS
100178730AMedicaidOK
223073800OtherDOL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000209 OK Practitioner - Pathology 6305913914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Laboratory Associates, Inc.Group PAC ID 3476539529, 24 clinicians

Practice addresses (Care Compare)

8801 S 101St Ave E
Hillcrest South Hospital Laboratory
Tulsa, OK 74133
Phone (918) 294-4786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2581OKMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Laboratory Associates, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2021 Accepting new patients
Southwest Pathology, Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

Dept 1050
Tulsa, OK 74182

8803 S 101st East Ave
Ste 360
Tulsa, OK 74133
Phone (918) 582-0001

4144 S Mingo Rd
Tulsa, OK 74146
Phone (918) 744-2500

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 1

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1245334739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26303",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260303",
            "telephone_number": "918-582-0001",
            "fax_number": "918-582-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S. 101ST E. AVE",
            "address_2": "SUITE 360",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-582-0001",
            "fax_number": "918-582-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STEVE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2450196903",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100178730A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "223073800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.