Organization Active NPI

Paul T Rose MD PA

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1679791495
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME36846 Issued in FL
Legal business name
PAUL T ROSE MD PA
Practice address
5210 Webb Rd
Tampa, FL 33615-4518
Phone
(813) 882-9986
Fax
(813) 882-9849
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Paul T Rose, M.D.NPI 1518921618
Title
Physician
Phone
(813) 882-9986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME36846 FL Primary

Addresses

Primary practice location

5210 Webb Rd
Tampa, FL 33615-4518

Mailing address

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

National Provider Directory

National Provider Directory

Locations

5341 Grand Blvd
Ste 107
New Port Richey, FL 34652
Phone (727) 847-1070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1679791495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL T ROSE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-882-9986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME36846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.