Organization Active NPI

Christopher R. Rose, MD PA

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1487905238
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTOPHER R. ROSE, MD PA
Practice address
3709 22ND PL
Ste a
Lubbock, TX 79410-1333
Phone
(806) 791-3999
Fax
(806) 791-1054
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Christopher R Rose, MDNPI 1619075520
Title
Owner/Principal
Phone
(806) 791-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3709 22ND PL
Ste a
Lubbock, TX 79410-1333

Mailing address

3709 22ND PL
Ste a
Lubbock, TX 79410-1333
Phone (806) 791-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121022000517 TX Part B Supplier - Clinic/Group Practice 6709772437 Receives reassigned benefits from 1 practitioner
Practice locations: Lubbock, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0997884Christopher R Rose, MD3709 22ND Place Suite a, Lubbock, TX 79410Provider-performed microscopyMar 28, 2028

National Provider Directory

National Provider Directory

Locations

4601 S Loop 289
Lubbock, TX 79424
Phone (806) 771-7879

3709 22nd Pl
Unit A
Lubbock, TX 79410
Phone (806) 791-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1487905238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101333",
            "telephone_number": "806-791-3999",
            "fax_number": "806-791-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 22ND PL",
            "address_2": "STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101333",
            "telephone_number": "806-791-3999",
            "fax_number": "806-791-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER R. ROSE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRINCIPAL",
        "authorized_official_telephone_number": "806-791-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.