SHANE J ROSE (NPI# 1326015900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326015900 |
| Entity Type | Individual |
| Full Name | SHANE J ROSE |
| Credential | M.D. |
| Practice Address |
11900 N Pennsylvania Street Carmel IN 46032-4694 |
| Mailing Address |
Po Box 2303 Dept 163 Indianapolis IN 46206 |
| Practice Telephone | 3178460717 |
| Practice Fax Number | 3178460557 |
| Mailing Telephone | 9525428553 |
| Mailing Fax Number | 9525136880 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01049705A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200250980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156071 | Shane Rose | Specialist/Technologist | 1241 Valley Hill Trl, Southampton, PA 18966-4613 | 2019-10-22 |
| Street Address |
11900 N PENNSYLVANIA STREET |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-4694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176843 | George B Dunn | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2005-10-04 |
| 1982866232 | Michael Dickinson Walker | Radiology | 11900 N Pennsylvania Street, Suite 100, Carmel, IN 56032-4694 | 2008-06-27 |
| 1548203656 | Michael B Hostetter | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2006-06-14 |
| 1508821604 | Thomas N Vahey | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2006-04-20 |
| 1518936970 | Susan J Meyer | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2006-03-16 |
| 1952378531 | Scott C. Gaerte | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2006-03-02 |
| 1619951837 | Shamit Sarangi | Radiology | 11900 N Pennsylvania Street, Suite 100, Carmel, IN 46032-4694 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225515166 | Century Radiology Medical Group, Inc | Radiology | 3750 Whitman Cir, Carmel, CA 93923-8326 | 2018-07-24 |
| 1497135040 | Quantum Medical Radiology of California, PC | Radiology | 7025 Valley Greens Cir, Carmel, CA 93923-7910 | 2015-06-08 |
| 1578985743 | Jan Clayton Buhl | Radiology | 23800 Fairfield Pl, Req, Carmel, CA 93923-9467 | 2014-01-07 |
| 1265768766 | Charles Felps Smith | Radiology | 10512 Spring Hill Dr, Carmel, IN 46032-4077 | 2009-10-19 |
| 1598868887 | Ruben Saenz | Radiology | 587 Viejo Rd, Carmel, CA 93923-9438 | 2006-09-05 |
| 1013941426 | Meridian North Imaging Center LLC | Radiology | 12188 N Meridian St # 101, Carmel, IN 46032-4406 | 2006-07-10 |
| 1083654917 | William C Mason | Radiology | 12238 Bayhill Dr, Carmel, IN 46033-9532 | 2006-06-08 |
| 1639148406 | Vincent Anthony Lombardi | Radiology | 5885 William Conner Way, Carmel, IN 46033 | 2006-03-15 |
| 1063493278 | Joseph A Veleeparambil | Radiology | 11700 N Meridian St, Carmel, IN 46032 | 2005-11-07 |
| 1730176843 | George B Dunn | Radiology | 11900 N Pennsylvania Street, Carmel, IN 46032-4694 | 2005-10-04 |
| Find all providers in CARMEL | ||||
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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.