Walter C Rose, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103502 Issued in NC

Practice address

445 Biltmore Ave
407
Asheville, NC 28801-4565

Phone

(828) 258-0397

NPI assigned

Feb 12, 2007

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1700927613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 REEMS TRACE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878414",
            "telephone_number": "828-645-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BILTMORE AVE",
            "address_2": "407",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014565",
            "telephone_number": "828-258-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WALTER",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103502",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "103502",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Rosario, PTA
• Karalee K. Rosburg, LCSWA
• Dina Rose, LCSW
• Lindsay Clark Rose, MS, LCMHCA
• Shannon Elizabeth Rose, M.A., CCC-SLP
• Pamela Hahn Rosecrance, M.A.
• Elizabeth Roseman, L.AC.
• Joel Benjamin Rosenberg, MD
• Larry E Rosenberg, MD
• Whitney Helene Rosenblatt, LCSW-A

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.