Organization Active NPI

Rose Medical Clinic LLC

  • Family Medicine Physician
  • Parsons, KS
National Provider Identifier
1467659243
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-27344 Issued in KS
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

Updated by the provider on Sep 22, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100314830DMedicaidKS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.