PAUL GARY ROSE (NPI# 1821642232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821642232 |
| Entity Type | Individual |
| Full Name | PAUL GARY ROSE |
| Practice Address |
N6158 Lambie Rd De Pere WI 54115-6705 |
| Mailing Address |
Po Box 200 Oneida WI 54155-0200 |
| Practice Telephone | 9206327031 |
| Practice Fax Number | 8889596350 |
| Mailing Telephone | 9206327031 |
| Mailing Fax Number | 8889596350 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356553325 | Paul Rose | Specialist | 3601 W Swann Ave, 105, Tampa, FL 33609-4547 | 2007-05-04 |
| 1053353334 | Paul Todd Rose | Dentist | 220 Ragland Rd, Beckley, WV 25801-9721 | 2006-06-12 |
| 1871737320 | Paul L Rose Jr. | Counselor | 1155 Cherokee St, Denver, CO 80204-3632 | 2009-04-28 |
| 1386722197 | Paul Rose | Family Medicine | 4601 Dale Rd, Modesto, CA 95356-9718 | 2006-11-01 |
| 1619984887 | Paul D Rose | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2006-08-01 |
| 1124043971 | Paul Rose | Nurse Anesthetist, Certified Registered | 2525 Court Dr, Gastonia, NC 28054-2140 | 2006-07-13 |
| 1518921618 | Paul T Rose | Dermatology | 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 | 2006-04-14 |
| Street Address |
N6158 LAMBIE RD |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788698 | Jasmine C Gray | Contractor | 1300 N Vel R Phillips Ave Apt 301, Milwaukee, WI 53212-4008 | 2020-07-27 |
| 1326664376 | Paul Richard Hyalnd | Contractor | 17 Forest Ave Ste 12, Fond Du Lac, WI 54935-4165 | 2020-06-24 |
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1306474952 | Theresa Randall | Contractor | 9455 W Watertown Plank Rd Fl 4, Wauwatosa, WI 53226-3559 | 2020-03-30 |
| 1174151088 | Robert Curti | Contractor | 3164 Losey Blvd S, La Crosse, WI 54601-7345 | 2020-03-28 |
| 1376196618 | Timothy Leinbach | Contractor | W3575 Cumberland Dr, Berlin, WI 54923-7627 | 2019-07-16 |
| 1649739038 | Kou Xiong | Contractor | 1323 S 13th Ave, Wausau, WI 54401-5816 | 2019-03-15 |
| 1174080998 | Jerry Kreibich | Contractor | W25551 Us Highway 10, Eleva, WI 54738-8962 | 2019-02-28 |
| 1205392610 | Mark James Knudson | Contractor | 3264 S 97th St, Milwaukee, WI 53227-4206 | 2019-02-11 |
| 1023572500 | Tou Lor | Contractor | N5115 Oak Hill Rd, Fond Du Lac, WI 54937-7922 | 2019-01-29 |
| Find all providers with the same taxonomy | ||||
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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.