RICHARD SUN KYU KWAN ROSE (NPI# 1447272323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447272323 |
| Entity Type | Individual |
| Full Name | RICHARD SUN KYU KWAN ROSE |
| Credential | MD |
| Practice Address |
500 Foothill Dr Slc UT 84148-0001 |
| Practice Telephone | 8015821565 |
| Practice Fax Number | 8015842576 |
| Mailing Telephone | 8015821565 |
| Mailing Fax Number | 8015842576 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2012-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD60136118 | WA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 5756670-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I AND CRIME VICTIMS | 0260516 | 01 |
| WA | REGENCE | 0211RO | 01 |
| WA | AETNA | 9370535 | 01 |
| WA | 1447272323 | 05 | |
| WA | 8567380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851684799 | Richard James Rose | Pharmacist | 7645 Sw Bond St, Tigard, OR 97224-7955 | 2011-05-25 |
| 1790775922 | Richard Anthony Rose | Podiatrist | 202 E Briggs Ave, Fairfield, IA 52556-2925 | 2005-10-27 |
| 1730644600 | Richard Rose | Behavior Technician | 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 | 2019-02-05 |
| 1861986242 | Richard Lester Rose | Licensed Practical Nurse | 391 Broadway, Everett, MA 02149-3470 | 2018-06-19 |
| 1245652098 | Richard Rose | Family Medicine | 2999 Ne 191st St, #705, Aventura, FL 33180-3123 | 2014-01-14 |
| 1609190701 | Richard A Rose | Pharmacist | 105 W Main St, North East, PA 16428-1119 | 2010-03-17 |
| 1730410804 | Richard Leroy Rose IIi | Physical Therapist | 1870 S Central St, Visalia, CA 93277-4418 | 2010-01-28 |
| 1033206552 | Richard S Rose | Psychiatry & Neurology | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2006-10-06 |
| 1134163553 | Richard Harlowe Rose | Urology | 2209 S Sterling St Ste 440, Morganton, NC 28655-4093 | 2006-06-15 |
| 1922049824 | Richard C Rose IIi | Internal Medicine | 1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434 | 2006-06-10 |
| Street Address |
500 FOOTHILL DR |
| City | SLC |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194979 | Kelli Dru Webster | Nurse Practitioner | 500 Foothill Dr, Slc, UT 84148-0001 | 2020-08-11 |
| 1144714296 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-06-20 |
| 1245737543 | Janine Rene Pawlikowski | Case Manager/Care Coordinator | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-04-12 |
| 1841517299 | Candice M Daniel | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2010-04-26 |
| 1073750279 | Tracy Herrmann | Dietitian, Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2009-01-10 |
| 1306099007 | Tanya Michelle Miller | Psychologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2008-10-28 |
| 1043384472 | Breana Celeste Pritchard | Social Worker | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-11-18 |
| 1770519167 | Mona Lea Ladue | Social Worker | 500 Foothill Dr, V Alor House, Slc, UT 84148-0001 | 2006-06-25 |
| 1205878964 | Vera Helene Draper | Audiologist | 500 Foothill Dr, Slc, UT 84148-0001 | 2006-06-10 |
| 1447247648 | J Todd Baker | Nurse Anesthetist, Certified Registered | 500 Foothill Dr, Slc, UT 84148-0001 | 2005-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760827174 | Scott Tyler Holmstrom | Internal Medicine | University of Utah Som Dept of Medicine, 30 N 1900 E Room 4c104, Slc, UT 84132-0001 | 2013-04-30 |
| 1326221540 | Katherine Alisa Anderson | Internal Medicine | 50 N Medical Dr, Slc, UT 84132-0001 | 2007-12-11 |
| 1992865273 | Christina Lynne Gallop | Internal Medicine | 404 S 400 W, Slc, UT 84101-2201 | 2006-12-09 |
| 1083781306 | Nancy L Mclaughlin, Md, PC | Internal Medicine | 508 E South Temple, Slc, UT 84102-1013 | 2006-11-30 |
| 1467465401 | Jessica Ann Walsh | Internal Medicine | 50 N Medical Dr, Slc, UT 84132-0001 | 2006-08-14 |
| 1891704698 | Carole A Baraldi | Internal Medicine | 24 S 1100 E, 209, Slc, UT 84102-1500 | 2006-08-08 |
| 1538183991 | Matthew Thomas Rondina | Internal Medicine | Va Slc Hcs, 500 Foothill Drive, Slc, UT 84148-0001 | 2006-07-27 |
| 1780600973 | Beverly Chang | Internal Medicine | 2000 S 900 E, Slc, UT 84105-3208 | 2006-07-14 |
| 1013958438 | Stephanie A Carney | Internal Medicine | 500 Foothill Blvd, Mailcode 110, Slc, UT 84148-0001 | 2006-06-09 |
| 1427023571 | Yong Hui Ahn | Internal Medicine | 1060 E 100 S, Suite L10, Slc, UT 84102 | 2006-02-22 |
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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.