DR. GARY L. ROSE DNP FNP ENP APRN NPI 1023628898

NPI Information

NPI: 1023628898
Provider Name: DR. GARY L. ROSE, DNP, FNP, ENP, APRN
Classification: Anesthesiology - 207LA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
1755 ASHLEY HALL RD APT E2
CHARLESTON, SC
ZIP 29407
Phone: (843) 693-8385
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DR. Gary L. Rose, DNP, FNP, ENP, APRN is an addiction medicine anesthesiology in Charleston, SC. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. DR. Gary L. Rose, DNP, FNP, ENP, APRN NPI is 1023628898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1755 ASHLEY HALL RD APT E2
CHARLESTON, SC
ZIP 29407-815
Phone: (843) 693-8385

The enumeration date for this NPI number is 8/5/2020 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		00007961-A	VIRGINIA	No
2	207Q00000X	Family Medicine		ME007961	SOUTH CAROLINA	No
3	207QA0401X	Family Medicine	Addiction Medicine	ME007961	SOUTH CAROLINA	No
4	363LP2300X	Nurse Practitioner	Primary Care	ME007961	SOUTH CAROLINA	No
5	207LA0401X	Anesthesiology	Addiction Medicine	ME007961	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000007961	OTHER	TENNESSEE	SAMSA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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