DR. ROSE PAUL (NPI# 1164759106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164759106 |
| Entity Type | Individual |
| Full Name | DR. ROSE PAUL |
| Practice Address |
3301 County Road 6 E Elkhart IN 46514-7673 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5742665342 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01054569A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200969560 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730154238 | Rose Jacklyn Paul | Physical Therapist | 15200 Jog Rd, C-4, Delray Beach, FL 33446-1247 | 2006-02-20 |
| 1407346174 | Rose E Paul | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2018-05-17 |
| 1720201239 | Rose Paul | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-11 |
| Street Address |
3301 COUNTY ROAD 6 E |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-7673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380424 | Jeffrey S Howe | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2005-07-15 |
| 1679954655 | John Russell Griggs | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514 | 2015-06-15 |
| 1104225739 | Carrie Daniels | Nurse Practitioner | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2014-08-20 |
| 1891194981 | Tabitha M. Pollard | Nurse Practitioner | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2014-08-14 |
| 1710329008 | Beacon Medical Group, Inc. | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2013-07-27 |
| 1184966681 | Anna N Matulewicz | Nurse Practitioner | 3301 County Road 6 E, Elkhart, IN 46514 | 2013-03-22 |
| 1164781480 | Saadia Qasim | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2012-05-07 |
| 1881925188 | Beacon Medical Group, Inc. | Clinic/Center | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2010-01-26 |
| 1316270523 | Tamara L Pinto | Nurse Practitioner | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2009-09-08 |
| 1285758250 | Janet E Badding | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326160425 | Dorwyn Craig Collier | Family Medicine | 3100 Windsor Court, Elkhart, IN 46514 | 2007-04-06 |
| 1821199431 | Harley Wayne Yoder | Family Medicine | 25651 County Road 20, Elkhart, IN 46517-2310 | 2006-09-26 |
| 1982678769 | Richard Allen Hastings | Family Medicine | 609 W Bristol St, Elkhart, IN 46514-2900 | 2006-02-16 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1326047036 | Thomas M Kolakovich | Family Medicine | 1506 Osolo Rd, Suite A, Elkhart, IN 46514-4122 | 2005-07-15 |
| 1750380424 | Jeffrey S Howe | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2005-07-15 |
| 1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
| 1477556918 | Michael Ellsworth Smothers | Family Medicine | 3003 E Lake Dr S, Elkhart, IN 46514-4327 | 2005-05-28 |
| 1588667117 | Heather A. Macklem | Family Medicine | 2115 W Lexington Ave, Elkhart, IN 46514-1423 | 2005-05-27 |
| 1487657664 | Larry Burch | Family Medicine | 313 W Parker, Elkhart, TX 75839-7612 | 2005-05-23 |
| Find all providers in ELKHART | ||||
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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.