Active NPI
Paul E Roose, DO
- Orthopaedic Surgery Physician
- Reed City, MI
National Provider Identifier
1518920875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101006576
- Practice address
- 225 N State St
Reed City, MI 49677-1089 - Phone
- (231) 832-9533
- NPI assigned
- Apr 8, 2006
- Last updated
- Aug 13, 2012
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101006576 | MI | Primary |
Addresses
Primary practice location
225 N State St
Reed City, MI 49677-1089
Mailing address
300 N Patterson Ave
Reed City, MI 49677
Phone (231) 832-9533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4635849 | Medicaid | MI |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1518920875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N PATTERSON AVE",
"city": "REED CITY",
"state": "MI",
"postal_code": "49677",
"telephone_number": "231-832-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N STATE ST",
"city": "REED CITY",
"state": "MI",
"postal_code": "496771089",
"telephone_number": "231-832-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOSE",
"first_name": "PAUL",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101006576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4635849",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reed City, MI
- Reed City Hospital Corporation (Corewell Health Reed City Hospital Family Medicine)
- Reed City Hospital Corporation (Spectrum Health Reed City anesthesia)
- Reed City Hospital Corporation (Corewell Health Reed City Hospital Professional)
- Patricia Ann Rewa
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 03383)
- Samaritan Health Care, PC
- Susan Mary Samuels, MSW
- Margo E. Sancartier, RPH
- Lawrence Schappa, MD
- Marcy Jo Scott, CPSS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.