DR. CRYSTAL LYNN ROSE (NPI# 1184823106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184823106 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL LYNN ROSE |
| Credential | M.D. |
| Practice Address |
2501 Kentucky Ave Paducah KY 42003 |
| Mailing Address |
Po Box 8317 Paducah KY 42002-8317 |
| Practice Telephone | 2705752712 |
| Mailing Telephone | 2705752244 |
| Mailing Fax Number | 2704157130 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
44880 | KY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01065927A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 Lone Oak Rd, Paducah, KY 420037901 | 2705752244 | 2704157130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417285420 | Crystal Louise Rose | Social Worker | 630 Quintana Rd, # 101, Morro Bay, CA 93442-1939 | 2009-12-02 |
| 1215983044 | Crystal S Rose | Physician Assistant | 280 Broad St Ste A, Kernersville, NC 27284 | 2006-05-25 |
| 1598208142 | Crystal Collette Rose | Massage Therapist | 2801 E Palmer Wasilla Hwy, Suite C, Wasilla, AK 99654-7339 | 2016-11-30 |
| 1518310838 | Crystal Rose | Pharmacist | 9200 Nw 39th Ave, Gainesville, FL 32606-7331 | 2016-07-21 |
| 1356621478 | Crystal Rose | Physician Assistant | 80 Seymour Street, Hartford Hospital Er Dept, Hartford, CT 06102-5037 | 2011-08-20 |
| 1417235201 | Crystal D Rose | Pharmacist | 4630 Monticello Ave, T-1161, Williamsburg, VA 23188-8200 | 2011-07-27 |
| Street Address |
2501 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213820 | Robert Timothy Mabry | Emergency Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2005-05-24 |
| 1700485794 | Heather Sutton | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-20 |
| 1881291250 | Aaron Douglas Garrett | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-10-07 |
| 1265044044 | William Kory Oliver | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-21 |
| 1720699010 | Bobbie Lee Smith | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-08-11 |
| 1245854355 | Whitley Jo Swift | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-06-04 |
| 1821624339 | Kaci Rae Medley | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-03-16 |
| 1093355448 | Peyton Diane Englert | Nurse Anesthetist, Certified Registered | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2020-01-14 |
| 1720624356 | Jessica Gonzales | Family Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-11-19 |
| 1457904526 | Tanya Christine Cobb | Nurse Practitioner | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730472341 | Jill Patterson Eickhoff | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2011-05-16 |
| 1518007822 | Dustin Ray Woods | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2007-02-07 |
| 1861594434 | Gerald Thomas Weir | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2006-09-02 |
| 1952340440 | Robert Marshall Haugh | Pathology | 2501 Kentucky Ave, Paducah, KY 42003 | 2006-06-06 |
| 1265407100 | Christopher B Green | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2006-02-22 |
| 1871572602 | Carolyn S Watson | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2006-01-11 |
| 1841279882 | Ben Taylor | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2006-01-10 |
| 1508849506 | Stanley H Sprei | Pathology | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2005-11-22 |
| 1679563522 | Pathology Associates of Paducah, Psc | Pathology | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2005-10-24 |
| 1982609640 | Affiliates In Pathology Sc | Pathology | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2005-06-17 |
| Find all providers in PADUCAH | ||||
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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.