ROSE MEDICAL GROUP, P.A. (NPI# 1508061482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508061482 |
| Entity Type | Organization |
| Organization Name | ROSE MEDICAL GROUP, P.A. |
| Practice Address |
12446 West Ave Suite 100 San Antonio TX 78216-2517 |
| Practice Telephone | 2105259900 |
| Mailing Telephone | 2105259900 |
| Mailing Fax Number | 2105259908 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND L BREWER (PRESIDENT) |
| Authorized Official Telephone | 2105259900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
K0647 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
12446 WEST AVE SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431415 | Samuel R Neeley | Neuromusculoskeletal Medicine & OMM | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2005-07-19 |
| 1033652425 | Pediatric Urology of San Antonio Pllc | Urology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-12-02 |
| 1568824209 | James B Ellis Mdpa | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2016-03-22 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1548668411 | Neurology Associates of San Antonio Pllc | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2014-12-09 |
| 1235360009 | Christina Ann Keane | Specialist/Technologist, Other | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2009-07-28 |
| 1376749564 | Jerry I. Koch | Chiropractor | 12446 West Ave, Ste 100, San Antonio, TX 78216-2517 | 2007-06-25 |
| 1649391632 | Samuel R Neeley Md Pa | Clinic/Center | 12446 West Ave, Suite 200, San Antonio, TX 78216-2517 | 2007-04-03 |
| 1801869268 | James Brant Ellis | Internal Medicine | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742388 | Tricity Pain Associates Pa | Anesthesiology | 14800 San Pedro Ave Ste 115, San Antonio, TX 78232-3734 | 2020-08-28 |
| 1164050498 | Manuel Ybarra Md | Anesthesiology | 255 E Sonterra Blvd Ste 203, San Antonio, TX 78258-4076 | 2020-03-31 |
| 1760994420 | William A. Tisdall, M.d., P.a. | Anesthesiology | 1314 E Sonterra Blvd Ste 2107, San Antonio, TX 78258-4286 | 2017-11-02 |
| 1255788279 | Sigma Pain Clinic Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 120, San Antonio, TX 78231-1269 | 2016-05-19 |
| 1336584093 | Premier Pain Consultants, Pllc | Anesthesiology | 11212 State Highway 151 Ste 360, San Antonio, TX 78251-4504 | 2013-05-07 |
| 1972708931 | Karl Alan Lautenschlager | Anesthesiology | 5364 Fredericksburg Road, Building D, Ste 100, San Antonio, TX 78229 | 2007-06-19 |
| 1558566018 | Kaiser Medical Management, LLC | Anesthesiology | 16111 San Pedro Ave Ste 109, San Antonio, TX 78232-3062 | 2007-06-15 |
| 1346453776 | Laredo Anesthesia Services, P.a. | Anesthesiology | 6811 Brave Way, San Antonio, TX 78256-2301 | 2007-05-08 |
| 1215156542 | Prabhdeep Kaur Grewal | Anesthesiology | 11212 Sate Highway 151, Suite 150, San Antonio, TX 78251-4505 | 2007-04-25 |
| 1598878225 | Arnulfo Tarin Carrasco | Anesthesiology | 4763 Hamilton Wolfe Rd Ste 200, San Antonio, TX 78229-3329 | 2006-08-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.