NPIMap

Organization Active NPI

Roberta S Rose DO

  • Neurology Physician
  • Sebastian, FL
National Provider Identifier
1982149001
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS6236 Issued in FL
Legal business name
ROBERTA S ROSE DO
Practice address
8005 Bay St
Suite 3
Sebastian, FL 32958-3244
Phone
(772) 388-1100
Fax
(772) 918-8834
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Sharon Gore
Title
Office Manager
Phone
(772) 388-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X OS6236 FL Primary

Addresses

Primary practice location

8005 Bay St
Suite 3
Sebastian, FL 32958-3244

Mailing address

8005 Bay St
Suite 3
Sebastian, FL 32958-3244
Phone (772) 388-1100

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8665/brand/7/csg/22/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1982149001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 BAY ST",
            "address_2": "SUITE 3",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583244",
            "telephone_number": "772-388-1100",
            "fax_number": "772-918-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 BAY ST",
            "address_2": "SUITE 3",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583244",
            "telephone_number": "772-388-1100",
            "fax_number": "772-918-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA S ROSE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-388-1100"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS6236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.