Carroll Everett Rose, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

7511 Issued in TN

Practice address

1610 Tazewell Rd
Ste 301
Tazewell, TN 37879-3600

Phone

(423) 626-4288

Fax

(423) 626-1101

NPI assigned

Aug 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18464/brand/1/csg/1/fhir/r4
• Direct secure messaging: dr_carroll_rose@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Rose & Thomas

  • Surgery Physician
  • Tazewell, TN
  • NPI 1891741914
  NPD (past)
• Medical Center Clinic, Inc.

  • Family Medicine Physician
  • Tazewell, TN
  • NPI 1689683427
  NPD (past)
• DRS Rose and Thomas

  • Surgery Physician
  • Middlesboro, KY
  • NPI 1114133055
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1407857352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1679",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378251679",
            "telephone_number": "423-626-4288",
            "fax_number": "423-626-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 TAZEWELL RD",
            "address_2": "STE 301",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793600",
            "telephone_number": "423-626-4288",
            "fax_number": "423-626-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CARROLL",
        "middle_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "7511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528259",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afton Rose Reid
• Brenda Kaye Render, CRNA
• Kisandra Leigh Rickard, APRN
• Joshua Ricketts, PHARM D
• Daniel Roop, OTR/L
• Anthony Rowe
• Gabrielle Ryerson, SP
• Bruce Edward Saylor, NURSE PRACTITIONER
• Ashley Smallwood
• Leann W Smith, FNP

• Surgery Physician in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.