Thomas W Roselle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04088 Issued in TX

Practice address

707 S Fry Rd
Suite 350
Katy, TX 77450-2256

Phone

(281) 578-1910

Fax

(281) 578-1774

NPI assigned

Nov 29, 2005

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: thomas.roselle.1@17800.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Plus Clinic, PA

  dba Family Care Plus Clinic

  • Family Medicine Physician
  • Katy, TX
  • NPI 1912086190
  Medicare reassignment

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1568446094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 SOUTHWEST FWY",
            "address_2": "SUITE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741419",
            "telephone_number": "281-649-7000",
            "fax_number": "713-484-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S FRY RD",
            "address_2": "SUITE 350",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502256",
            "telephone_number": "281-578-1910",
            "fax_number": "281-578-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLE",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleyda Lizbeth Rosas, BS SLP-A
• Sandra Lilia Rose, LSA
• Tonya Lynn Rose, LM, CPM, EMT
• Rosehill Urgent Care LLC
• Rosehill Urgent Care LLC (Rosehill Healthcare Services)
• Trisha Ann Rosenberg
• Jovanny Rosero
• Roshal Imaging Services
• Roshanak Haghshenas (katymills dental)
• Roslyns Senior Lifestyle Center LLC

• Physician Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.