Active NPI
Rose Neurology, PC
- Sleep Medicine (Psychiatry & Neurology) Physician
- Dearborn, MI
National Provider Identifier
1831722560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- Legal business name
- ROSE NEUROLOGY, PC
- Practice address
- 5141 Oakman Blvd
Dearborn, MI 48126-3763 - Phone
- (313) 846-3057
- Fax
- (844) 209-1584
- NPI assigned
- Feb 21, 2020
- Last updated
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Rose, MD
- Title
- Owner
- Phone
- (248) 846-3057
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | NU | Primary |
Addresses
Primary practice location
5141 Oakman Blvd
Dearborn, MI 48126-3763
Mailing address
5141 Oakman Blvd
Dearborn, MI 48126-3763
Phone (313) 846-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5141 Oakman Blvd
Dearborn, MI 48126
Phone (313) 359-8200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1831722560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263763",
"telephone_number": "313-846-3057",
"fax_number": "844-209-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263763",
"telephone_number": "313-846-3057",
"fax_number": "844-209-1584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE NEUROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-846-3057",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.