Quentin Rose (NPI# 1902846165, PAC ID# 1850384884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1902846165 |
| PAC ID by PECOS | 1850384884 |
| Professional Enrollment ID | I20051028000704 |
| Full Name | Quentin Rose |
| Organization Legal Name | CHAMPLAIN IMAGING |
| Address |
Northwestern Medical Ctr 133 Fairfield Street St Albans VT 05478-1726 |
| Phone Number | 8025241058 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1977 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6002066107 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470024 | NORTHWESTERN MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 | 8025241058 | CHAMPLAIN IMAGING |
| Organization Legal Name | CHAMPLAIN IMAGING |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucy Lane | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Olga Lopatina | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Jennifer Wells Eaton | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Irina Kapustina | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Street Address |
NORTHWESTERN MEDICAL CTR 133 FAIRFIELD STREET |
| City | ST ALBANS |
| State | VT |
| Zip | 05478-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucy Lane | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Olga Lopatina | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Jennifer Wells Eaton | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Irina Kapustina | Diagnostic Radiology | Champlain Imaging | Northwestern Medical Ctr, 133 Fairfield Street, St Albans, VT 05478-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad E Volk | Chiropractic | 261 N Main St, Saint Albans, VT 05478-1526 | |
| Michelle Dawn Pelkey | Clinical Social Worker | 132 N Main St, Suite 2, Saint Albans, VT 05478-1551 | |
| William P Leahy | Chiropractic | 188 N Main St, St Albans, VT 05478-1552 | |
| Cara L Beyor | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Trevor G Trombley | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Kara L Lumbra | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Sarah-ruth H Busier | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Amanda Mosher | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Jeanine M Kichura | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Leanne M Blanchard | Physical Therapy | Choice Physical Therapy of St Albans LLC | 3 Champlain Cmns, Suite 1, Saint Albans, VT 05478-1563 |
| Find all physicians in zip 05478 | |||
| City | ST ALBANS |
| Zip Code | 05478 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ST ALBANS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Quentin Rose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.