Active NPI
Allyn Patrick Rose, MD
- Pediatrics Physician
- Ogden, UT
National Provider Identifier
1326002973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1649101205
- Practice address
- 5495 S 500 E
Ste 330
Ogden, UT 84405 - Phone
- (801) 476-2717
- Fax
- (801) 476-7183
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1649101205 | UT | Primary |
Addresses
Primary practice location
5495 S 500 E
Ste 330
Ogden, UT 84405
Mailing address
5495 S 500 E
Ste 330
Ogden, UT 84405
Phone (801) 476-2717
Other names 1
- A Patrick Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1649101205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1326002973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5495 S 500 E",
"address_2": "STE 330",
"city": "OGDEN",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-476-2717",
"fax_number": "801-476-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5495 S 500 E",
"address_2": "STE 330",
"city": "OGDEN",
"state": "UT",
"postal_code": "84405",
"telephone_number": "801-476-2717",
"fax_number": "801-476-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ALLYN",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "1649101205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "A",
"last_name": "ROSE",
"middle_name": "PATRICK",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ogden, UT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.