Active NPI
Rose Medical Clinic LLC
- Family Medicine Physician
- Parsons, KS
National Provider Identifier
1467659243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-27344
- Legal business name
- ROSE MEDICAL CLINIC LLC
- Practice address
- 1509 Main St
Parsons, KS 67357-3332 - Phone
- (620) 421-0808
- Fax
- (620) 421-0810
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas A. Rose, MD
- Title
- Sole Proprietor
- Phone
- (620) 421-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-27344 | KS | Primary |
Addresses
Primary practice location
1509 Main St
Parsons, KS 67357-3332
Mailing address
1509 Main St
Parsons, KS 67357-3332
Phone (620) 421-0808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100314830D | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
1509 Main St
Parsons, KS 67357
Phone (620) 421-0600
101 S 27th St
Parsons, KS 67357
Phone (620) 421-0808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1467659243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 MAIN ST",
"city": "PARSONS",
"state": "KS",
"postal_code": "673573332",
"telephone_number": "620-421-0808",
"fax_number": "620-421-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 MAIN ST",
"city": "PARSONS",
"state": "KS",
"postal_code": "673573332",
"telephone_number": "620-421-0808",
"fax_number": "620-421-0810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "620-421-0808",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KS",
"license": "04-27344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100314830D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.