Active NPI
Christopher A Rose, P.A.
- Physician Assistant
- Overland Park, KS
National Provider Identifier
1902863822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1501120
- Practice address
- 5701 W 119TH St Ste 308
Overland Park, KS 66209 - Phone
- (913) 649-7300
- Fax
- (913) 385-5559
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- 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 | 1501120 | KS | Primary |
Addresses
Primary practice location
5701 W 119TH St Ste 308
Overland Park, KS 66209
Mailing address
5701 W 119TH St Ste 308
Overland Park, KS 66209-3721
Phone (913) 649-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004530 | GA | MD | Physical Therapist |
| 1501120 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menorah Medical Group, LLC | Past | Accepting new patients | |
| Heart Clinic PA the | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1902863822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 W 119TH ST STE 308",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093721",
"telephone_number": "913-649-7300",
"fax_number": "913-385-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W 119TH ST STE 308",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-649-7300",
"fax_number": "913-385-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1501120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.