JEROME ROSE


Address: 167 North Main Street, Tuba City, AZ 86045-0600
Phone: 9282832501

JEROME ROSE (NPI# 1093133092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093133092
Entity Type Individual
Full Name JEROME ROSE
Credential RT
Practice Address 167 North Main Street
Tuba City
AZ 86045-0600
Mailing Address Po Box 600
Tuba City
AZ 86045-0600
Practice Telephone 9282832501
Mailing Telephone 9282832781
Mailing Fax Number 9282832677
Enumeration Date 2014-04-07
Last Update Date 2014-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 521689 AZ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 167 NORTH MAIN STREET
City TUBA CITY
State AZ
Zip Code 86045-0600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912906645 Thomas Joseph Peters Orthopaedic Surgery 167 North Main Street, Tuba City, AZ 86045-0600 2005-07-15
1134696412 Young Chou Pharmacist 167 North Main Street, Tuba City, AZ 86045 2018-10-25
1447736186 Kenneth Hale Dentist 167 North Main Street, Tuba City, AZ 86045 2018-07-16
1659868024 Bradley Hilken Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2018-04-20
1811484314 Elizabeth Sullivan Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2018-04-19
1093217945 Scott Cerreta Respiratory Therapist, Registered 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 2018-03-07
1821502287 Rachel Dye Registered Nurse 167 North Main Street, Tuba City, AZ 86045-0600 2017-11-21
1467965319 Amber Vaughn Registered Nurse 167 North Main Street, Tuba City, AZ 86045-0600 2017-11-14
1639682701 Roselita Sloan Registered Nurse 167 North Main Street, Tuba City, AZ 86045-0600 2017-11-13
1306359518 Debra Marshall Registered Nurse 167 North Main Street, Tuba City, AZ 86045-0600 2017-11-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205434206 Ambrielle Grace Begay Specialist/Technologist 48 Turquoise Drive, Tuba City, AZ 86045 2020-10-12
1063028124 Fresenius Medical Care Tuba City, LLC Clinic/Center 50 S. Main Street, Ste 108, Tuba City, AZ 86045 2020-09-23
1609422484 Rebekah Lee Pharmacist 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 2019-08-16
1861977050 Kyle C Nguyen Pharmacist 3008 E. Birch Ave, Tuba City, AZ 86045 2018-10-03
1518419845 John Glenn Ives Pharmacist 167 N, Main St, Tuba City, AZ 86045 2016-11-03
1497208433 Toweringrock Non-emergency Medical Transport, LLC Non-emergency Medical Transport (VAN) 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 2016-07-26
1699153270 Hopi Assisted Living Facility Inc. Point of Service 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 2015-05-14
1306223870 Mia Seimy Driver Adair Avenue Space #5, Tuba City, AZ 86045 2015-05-04
1033507587 Tari Carroll Home Health Aide Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 2015-01-07
1023452984 Amanda Bancroft Burrage Pediatrics 167 Main St., Tuba City, AZ 86045 2013-04-23
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679991749 Heather Ann Lemons Radiologic Technologist 167 Noth Main Street, Tuba City, AZ 86045-0600 2014-04-04
1811484314 Elizabeth Sullivan Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2018-04-19
1992292486 Joe Collucci Radiologic Technologist 167 N Main Street, Tuba City, AZ 86045-0600 2018-04-19
1811484306 Shyanne Lomayaktewa Radiologic Technologist 167 N Main Street, Tuba City, AZ 86045-0600 2018-04-19
1235626714 Pearlena Beyal Radiologic Technologist 167 N Main Street, Tuba City, AZ 86045-0600 2018-04-19
1043630486 Kimberly A Harn Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2014-04-24
1972935237 Shane Leon Tryon Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2013-08-08
1790123693 Christopher Paul Edger Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2013-06-13
1548507379 David G.l. Williams Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2013-01-14
1205188398 Ernesto Marrero Jr. Radiologic Technologist 167 North Main Street, Tuba City, AZ 86045-0600 2012-10-12
Find all providers in TUBA CITY

Competitor

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City TUBA CITY
Zip Code 86045

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Dataset Information

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.

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