MR. KYLE D ROSE (NPI# 1073811352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073811352 |
| Entity Type | Individual |
| Full Name | MR. KYLE D ROSE |
| Credential | DO |
| Practice Address |
8901 Indian Hills Dr Ste 200 Omaha NE 68114-4032 |
| Practice Telephone | 4023977057 |
| Mailing Telephone | (402) 397-7057 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
1650 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1073811352 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Wall St, 507, Kankakee, IL 60901 | 8159286274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1467624858 | Kyle Fielding Rose | Dietitian, Registered | 520 Driftwood Terrace, Denton, TX 76209 | 2008-03-26 |
| 1003324591 | Kyle Rose | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-18 |
| 1518311216 | Kyle Matthew Rose | Urology | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2016-04-19 |
| Street Address |
8901 INDIAN HILLS DR STE 200 |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518130624 | Jordan D Holmes | Internal Medicine | 8901 Indian Hills Dr Ste 200, Omaha, NE 68114-4032 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679888317 | Bienestar Inc | Internal Medicine | 643 N 98th St, Suite 289, Omaha, NE 68114-2370 | 2010-08-18 |
| 1013179696 | Kathryn Ellen Hutchins | Internal Medicine | 110 N. 175th St, Suite 2000, Omaha, NE 68118-0001 | 2008-06-25 |
| 1518130624 | Jordan D Holmes | Internal Medicine | 8901 Indian Hills Dr Ste 200, Omaha, NE 68114-4032 | 2008-04-09 |
| 1366417636 | Timothy B Denzler | Internal Medicine | 8021 Cass St, Omaha, NE 68114-3525 | 2006-02-21 |
| 1124015672 | John D Woodbury | Internal Medicine | 17521 Douglas St, Omaha, NE 68118-3016 | 2005-09-30 |
| 1134120165 | John J Ferry Md PC | Internal Medicine | 7205 W Center Rd, Suite 100, Omaha, NE 68124 | 2005-08-01 |
| 1427464130 | Sirish Rao | Internal Medicine | 7500 Mercy Rd, Omaha, NE 68124 | 2014-07-02 |
| 1194145169 | Saurabh Chandan | Internal Medicine | 7710 Mercy Rd Ste 2000, Omaha, NE 68124-2323 | 2014-04-17 |
| 1932442613 | Abdullah Abdussalam | Internal Medicine | 7710 Mercy Rd, Suite 320, Omaha, NE 68124-2372 | 2013-04-01 |
| 1396023834 | Wuttiporn Manatsathit | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2011-08-02 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.