DR. K DANIEL ROSE (NPI# 1790704518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790704518 |
| Entity Type | Individual |
| Full Name | DR. K DANIEL ROSE |
| Credential | MD |
| Practice Address |
4050 W Soda Rock Ln Healdsburg CA 95448-9631 |
| Practice Telephone | 7074335667 |
| Practice Fax Number | 7074734405 |
| Mailing Telephone | 7074335667 |
| Mailing Fax Number | 7074734405 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G25578 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G255780 | 05 | |
| CA | MEDICAL LICENSE | G25578 | 01 |
| Street Address |
4050 W SODA ROCK LN |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-9631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932229291 | Richard J. Andolsen, Md Inc. | Family Medicine | 465 March Ave Ste A, Healdsburg, CA 95448-3371 | 2007-03-30 |
| 1780797100 | James Forrest Carroll | Family Medicine | 421 March Ave Ste D, Healdsburg, CA 95448-3367 | 2006-08-17 |
| 1649207481 | Locke Wilson | Family Medicine | 430 Tee Dr, Healdsburg, CA 95448 | 2006-06-27 |
| 1710914577 | Douglas D Pile | Family Medicine | 1312 Prentice Drive, Healdsburg, CA 95448-3381 | 2006-06-27 |
| 1376533638 | Richard Joseph Andolsen | Family Medicine | 465 March Ave, Suite A, Healdsburg, CA 95448-3371 | 2005-10-26 |
| 1407218407 | William James Elder Jr. | Family Medicine | 717 Center St, Healdsburg, CA 95448 | 2016-03-28 |
| 1043570708 | Cassandra Heller | Family Medicine | 1381 University St, Healdsburg, CA 95448-3314 | 2012-05-29 |
| 1295025039 | Ember Keighley | Family Medicine | 1381 University St, Healdsburg, CA 95448-3314 | 2011-04-13 |
| 1780993915 | James F. Carroll M.d. Medical Corporation | Family Medicine | 421 March Ave Ste D, Healdsburg, CA 95448-3367 | 2010-10-05 |
| 1578704300 | North Coast Faculty Medical Group | Family Medicine | 717 Center St, Healdsburg, CA 95448-3604 | 2009-03-06 |
| Find all providers in HEALDSBURG | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
Please comment or provide details below to improve the information on DR. K DANIEL ROSE.
| 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.