Randy Wayne Rose

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0640 Issued in SC

Practice address

1505 Main St
Hilton Head, SC 29926

Phone

(843) 547-5832

NPI assigned

Jul 25, 2006

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

State licenses

Practice roles

Locations

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.

• The Rose Hearing Group , LLC

  • Hearing Instrument Specialist
  • Hilton Head, SC
  • NPI 1629550140
  NPD Authorized official
• Pro Hear Group LLC

  • Hearing Instrument Specialist
  • Hilton Head, SC
  • NPI 1376266171
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1831112697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261608",
            "telephone_number": "843-547-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-547-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RANDY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "0640",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E Riley, M.D.
• Nicole O Riley, OTR/L
• Madison Clary Robbins, MS, CCC-SLP
• Jenna Elizabeth Roller, PA-C
• Ashley B Romine, PT
• Kelly A Ruckno, APRN
• Thomas P Rzeczycki
• Jonathan L Sack, MD
• Isam Awni Sakati, M.D.
• Salerno Pediatric Care LLC

• Hearing Instrument Specialist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Hearing Instrument Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.