Active NPI
Rose Joseph
- Physician Assistant
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1168590
- Practice address
- 4712 NW 5TH CT
Coconut Creek, FL 33063-6739 - Phone
- (754) 779-3208
- NPI assigned
- Jan 22, 2021
- Last updated
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1168590 | FL | Primary |
Addresses
Primary practice location
4712 NW 5TH CT
Coconut Creek, FL 33063-6739
Mailing address
4712 NW 5TH CT
Coconut Creek, FL 33063-6739
Phone (754) 779-3208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ, WI, IL, NV, TX, NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Whitehouse, TX 75791
Phone (480) 306-6949
1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200
10010 N Dale Mabry Hwy 150
Simonmed Imaging Carrollwood
Tampa, FL 33618-4469
Phone (813) 964-8439
10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710
10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100
10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860
10561 Jeffreys St
Suite 111
Henderson, NV 89052-4267
Phone (702) 832-0116
10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121
10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030
10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900
1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995
1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153
11375 S Sam Houston Pkwy W
150 Simonmed Imaging Beltway
Houston, TX 77031-2347
Phone (346) 335-8561
11960 Lioness Way
140 Simonmed Imaging Parker
Parker, CO 80134-5643
Phone (303) 643-0200
1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115
1298 E Aris Dr
Derek G McAllister DO
Gilbert, AZ 85298-0928
Phone (480) 306-6949
130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900
1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977
1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101
1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730
13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609
13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448
1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505
14301 E Cedar Ave Unit E
Simonmed Imaging Aurora
Aurora, CO 80012-1433
Phone (720) 492-1985
14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.43 of 100
- Quality
- 82.86
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 75.71
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.83 of 100
- Quality
- 63.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9030 | AZ | MD | Pharmacist |
| 030542 | NY | MD | Physical Therapist |
| 1168590 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smi Imaging LLC | Current | Accepting new patients | |
| Simonmed Reno PLLC | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Current | Accepting new patients | |
| Smi Imaging LLC | Current | Accepting new patients | |
| Howard Simon MD PLLC | Current | Accepting new patients | |
| Smi Imaging, LLC | Current | Accepting new patients |
Locations
20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 849-0115
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400
1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900
939 N Broadway
Denver, CO 80203
Phone (303) 633-1280
11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200
616 W Lionshead Cir
Vail, CO 81657
Phone (615) 250-2306
265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151
4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010
14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111
446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016
20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740
3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570
3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610
590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083
24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245
8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916
3960 Hillside Dr
Ste 106
Delafield, WI 53018
Phone (262) 646-6950
2005 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 436-0884
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
FL, WI
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
CO, FL, NV, TX
-
dba Reno Diagnostic Center
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1306576145
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- New York, NY
- NPI 1932768934
-
dba Simonmed Imaging Kissimmee
- Diagnostic Radiology Physician
- Kissimmee, FL
- NPI 1578236287
-
dba Simonmed Imaging Seven Hills
- Diagnostic Radiology Physician
- Henderson, NV
- NPI 1295506483
-
dba Mobile Onsite Mammography
- Mobile Mammography Clinic/Center
- Tempe, AZ
- NPI 1609412642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1811587918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 NW 5TH CT",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330636739",
"telephone_number": "754-779-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 NW 5TH CT",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330636739",
"telephone_number": "754-779-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "1168590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.