William Rose, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

17964 Issued in WV

Practice address

214 South 4TH Street
Kremmling, CO 80459-0399

Phone

(970) 887-5800

NPI assigned

May 5, 2006

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kremmling Memorial Hospital District

  dba dba Middle Park Medical Center

  • Critical Access Hospital
  • Kremmling, CO
  • NPI 1619962321
  Medicare reassignment NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Medicare reassignment NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Del Norte, CO
  • NPI 1720181225
  Medicare reassignment NPD
• Kremmling Memorial Hospital District

  dba Middle Park Medical Center - Fraser

  • Critical Access Hospital
  • Fraser, CO
  • NPI 1093546996
  NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Monte Vista Rural Health Clinic of Rio Grande Hospital

  • Rural Health Clinic/Center
  • Monte Vista, CO
  • NPI 1144777566
  NPD
• 4M Emergency Systems of Parkersburg, Inc

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1295787349
  NPD (past)
• 4M Emergency Systems of West Virginia

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1972715837
  NPD (past)
• Bestpractices of West Virginia, Inc.

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1245284421
  NPD (past)
• Convenience Clinics of America, Inc

  • Urgent Care Clinic/Center
  • Parkersburg, WV
  • NPI 1235316027
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1871541201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SOUTH 4TH STREET",
            "city": "KREMMLING",
            "state": "CO",
            "postal_code": "804590399",
            "telephone_number": "970-887-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Murdoch Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261013230",
            "country_code": "US",
            "telephone_number": "304-424-4111",
            "fax_number": "330-656-5901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.071985",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "17964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045487000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "10054130",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "310917085129",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994714",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wrose286755@directe.centura.org",
            "affiliation": "N",
            "endpointDescription": "WRose Middle Park Health DIRECT Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "214 South 4th Street",
            "city": "Kremmling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804590399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Moreland, PTA
• Todd Odegaard
• Mark McClure Paulsen, M.D.
• Rebecca R Pearson, CCC-SLP
• Robert Craig Ratcliff, M.D.
• Rachel Halloran Scott, FNP
• Halee See
• Paul Soderberg, RPH
• Lyndsey Nykiel Stuerman, ANP
• Jodi Desiree' Sturgeon, MD

• Emergency Medicine Physician in Kremmling, CO
• Providers in Kremmling, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.