Johnnie L Rose (NPI# 1609872365, PAC ID# 2961684626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1609872365 |
| PAC ID by PECOS | 2961684626 |
| Professional Enrollment ID | I20110316001072 |
| Full Name | Johnnie L Rose |
| Address |
2101 Crawford St Suite 205 Houston TX 77002-8941 |
| Phone Number | 7136506699 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450035 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2101 Crawford St, Suite 205, Houston, TX 77002-8941 | 7136506699 |
| Street Address |
2101 CRAWFORD ST SUITE 205 |
| City | HOUSTON |
| State | TX |
| Zip | 77002-8941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice A Ajim | Internal Medicine | 2101 Crawford St, Suite 210, Houston, TX 77002-8941 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Murrell | Optometry | 910 Louisana St, Suite M175, Houston, TX 77002 | |
| Deidra D Williams | Nurse Practitioner | Harris County Hospital District | 1811 Ruiz, Houston, TX 77002-1321 |
| Kimberly N Jenkins | Nurse Practitioner | Harris County Hospital District | 1811 Ruiz, Houston, TX 77002-1321 |
| Luis Vaca | Diagnostic Radiology | Tampa Bay Radiology Associates Pa | 777 Preston St, Apt 26e, Houston, TX 77002-1699 |
| Jontel D Pierce | Neurology | 720 Rusk St, Houston, TX 77002-2713 | |
| Meyer L Proler | Neurology | 909 Texas St, Unit 613, Houston, TX 77002-3185 | |
| Olivia Denise Mcgill | Psychologist, Clinical | 723 Main St, Suite 425, Houston, TX 77002-3311 | |
| Olga Carmenates | Family Medicine | Memorial Hermann Medical Group | 919 Milam St, Suite 103, Houston, TX 77002-5338 |
| Archna Vajpayee | Family Medicine | Memorial Hermann Medical Group | 919 Milam St, Suite 103, Houston, TX 77002-5338 |
| Van Kim Nguyen | Optometry | 805 Walker St, Houston, TX 77002-5715 | |
| Find all physicians in zip 77002 | |||
| City | HOUSTON |
| Zip Code | 77002 |
| Specialty | NEUROLOGY |
| City + Specialty | HOUSTON + NEUROLOGY |
Please comment or provide details below to improve the information on Johnnie L 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.