Rose Dermatology & Laser Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10473R Issued in LA

Legal business name

ROSE DERMATOLOGY & LASER CENTER, LLC

Practice address

2221 Clearview Pkwy Ste 101
Metairie, LA 70001-2480

Phone

(504) 885-8363

Fax

(504) 885-1005

NPI assigned

Oct 15, 2007

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane L Rose, MDNPI 1053302273

Title

Owner

Phone

(504) 885-8363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Loria Rose, MD

  • Dermatology Physician
  • Metairie, LA
  • NPI 1053302273
  Medicare reassignment Care Compare group NPD Authorized official
• Chanell Charapata

  • Physician Assistant
  • Englewood, CO
  • NPI 1609284611

  LA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1538358601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CLEARVIEW PKWY STE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012480",
            "telephone_number": "504-885-8363",
            "fax_number": "504-885-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 CLEARVIEW PKWY STE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012480",
            "telephone_number": "504-885-8363",
            "fax_number": "504-885-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DERMATOLOGY & LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-885-8363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "10473R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Teal Rorison
• Kelly Elizabeth Rosales
• Mylka Roselyn Rosales
• Michael Philip Rosalez, LMSW
• Joshua N. Rosby
• Diane Loria Rose, MD
• Kandy Rose
• Katharine Judson Rose, M.D.
• Eugene Barry Rosenberg, M.D.
• Jerry H. Rosenberg, M.D.

• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.