DR. ROGER CRAIG ROSEN (NPI# 1336179191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336179191 |
| Entity Type | Individual |
| Full Name | DR. ROGER CRAIG ROSEN |
| Credential | M.D. |
| Practice Address |
535 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Practice Telephone | 5089963991 |
| Practice Fax Number | 5089963991 |
| Mailing Telephone | 5089963991 |
| Mailing Fax Number | 5089963991 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
53027 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 6177735 | 05 | |
| MA | RR MEDICARE | 230000567 | 01 |
| MA | HARVARD PILGRIM HEALTHCAR | 29059 | 01 |
| MA | TUFTS MEDICARE PREFERRED | 722914 | 01 |
| MA | UNITED HEALTHCARE | 17-01032 | 01 |
| MA | BCBS | J03236 | 01 |
| Street Address |
535 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062858 | Robert Wade Conroy | Psychiatry & Neurology | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-05-31 |
| 1215596945 | Stephanie Noble | Audiologist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-06 |
| 1437668241 | Joymon K Sebastian | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-09-25 |
| 1275918286 | Kathryn Fallavollita | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-07-21 |
| 1861883571 | Optomeyes Health PC | Optometrist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-02-17 |
| 1982002028 | Michelle Kallevik | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-12-05 |
| 1275934382 | Erica Lopes Cabral | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-09-08 |
| 1174930382 | Leanne Borden | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-07-21 |
| 1699187575 | Rachel Hoffmann | Dermatology | 535 Faunce Corner Rd, Dartmouth, MA 02747 | 2014-05-27 |
| 1568891620 | Erica Michelle Ahaesy | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619110525 | Harmandeep Singh | Surgery | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815022 | Stephen J. Hoenig, Md, PC | Surgery | 114 Merriam Ave Ste 101, Leominster, MA 01453-3175 | 2020-09-15 |
| 1578084588 | Stephen J. Hoenig, Md, PC | Surgery | 50 Memorial Dr Ste 112, Leominster, MA 01453-2238 | 2017-06-29 |
| 1760776124 | Brad Sherman Oriel | Surgery | 955 Main St Ste G2a, Winchester, MA 01890-1992 | 2011-06-02 |
| 1750697157 | Dorothy Virginia Freeman | Surgery | 21 Washburn Ave, Wellesley, MA 02481-5263 | 2010-08-23 |
| 1245551696 | Khaled A. Yehia Md | Surgery | 178 Savin St Ste 500, Malden, MA 02148-2329 | 2010-06-21 |
| 1932332707 | Usa Vein Clinics of Boston LLC | Surgery | 1208b Vfw Pkwy Ste 300, West Roxbury, MA 02132-4350 | 2009-08-27 |
| 1255563334 | Samuel Schwartz | Surgery | 15 Parkman St # 440, Boston, MA 02114-3117 | 2009-08-21 |
| 1053551838 | Jonathan Paull Gertler | Surgery | 15 Westcliff Rd, Weston, MA 02493-1409 | 2009-03-06 |
| 1093952939 | Sarah Carlson | Surgery | 1400 Vfw Pkwy # 1c-105, West Roxbury, MA 02132-4927 | 2009-01-14 |
| 1437314325 | Sandip T Maru | Surgery | 2 Hospital Dr Ste 2013, Holyoke, MA 01040 | 2008-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ROGER CRAIG ROSEN.
| 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.