Anthony Joseph Rose, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-421 Issued in AR

Practice address

224 West Erie
Harrison, AR 72601

Phone

(870) 741-8289

Fax

(870) 741-0308

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1629003736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W ERIE AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013539",
            "telephone_number": "870-741-8289",
            "fax_number": "870-741-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WEST ERIE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-741-8289",
            "fax_number": "870-741-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002770",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "92PA15",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "PA-421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98122",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rock Springs Dental, PLLC
• Lesa Carol Rogers, M.S., CCC-SLP
• Penny Rogers
• Chris D Rohr, HIS
• Jesse Newton Roy Root
• Jesse Shelton Rose
• Elizabeth Sue Ross Chambers, M.D.
• Thomas T Ross, BS PHARMACY
• Thomas Brent Rosson Jr., M.D.
• Ronald Angelo Rubin Rubio, M.D.

• Surgical Physician Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Surgical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.