Susan A Rose in Tulsa - Surgery

Susan A Rose - NPI 1073544250

Susan A Rose is a Surgery in Tulsa, Oklahoma. Susan A Rose practices all healthcare services and medical treatments related to Surgery. The NPI Number for Susan A Rose is 1073544250. The last update date is 2010-03-10.

Susan A Rose's current location address is 1725 E 19th St, Tulsa, Oklahoma. You can contact this provider via phone number 9183012505 and fax number 9183013633. The mailing address for Susan A Rose is 1725 E 19th St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan A Rose
Address 1725 E 19th St, Tulsa, Oklahoma
Phone Number 9183012505
Fax Number 9183013633
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073544250
Provider Enumeration Date 2006-07-05
Last Updated Date 2010-03-10

Provider Mailing Address Detail

Address 1725 E 19th St
City Tulsa
State Oklahoma (OK)
Post Code 741045472
Phone Number 9183012505
Fax Number 9183013633

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 14809
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100162600A OK --
20047731 OK RAILROAD MEDICARE

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FAQs about Susan A Rose

What is the Susan A Rose's 1073544250?

The Susan A Rose's NPI (National Provider Identifier) Number is 1073544250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Susan A Rose is physically located?

The Susan A Rose is physically situated at the following address: 1725 E 19Th St, Tulsa, OK, 741045472.

What is the Susan A Rose's area of specialization and corresponding taxonomy classification?

The Susan A Rose's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Susan A Rose receive its 1073544250 assignment from the Centers for Medicare & Medicaid Services?

The Susan A Rose was assigned its 1073544250 by the Centers for Medicare & Medicaid Services on 2006-07-05.

As of what date was the information regarding Susan A Rose, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan A Rose, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-10.

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