Donald Richard Rose, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00017941 Issued in WA

Practice address

3304 E Bay Dr NW
Gig Harbor, WA 98335-7649

Phone

(125) 385-1567

NPI assigned

Jan 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Tacoma Magnetic Imaging LP

  • Radiology Clinic/Center
  • Tacoma, WA
  • NPI 1376612069
  NPD (past)

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1639449945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 E BAY DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357649",
            "telephone_number": "125-385-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 E BAY DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357649",
            "telephone_number": "125-385-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DONALD",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00017941",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G31700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merit Sarah Rome, M.D.
• Sheilla Rona, RN, BSN
• Danielle A Rood, PA-C
• Alissa Woodworth Rooks
• Sonna Rooks
• Jeffrey S Rose, MD
• Michael Rosendahl, DPT
• Pamela Rosendahl
• Holly Roso, PSY.D.
• Talia Irene Ross, LM, CPM

• Specialist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.