MR. ANTHONY JOSEPH ROSE PA-C NPI 1629003736

NPI Information

  • NPI: 1629003736
  • Provider Name: MR. ANTHONY JOSEPH ROSE, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 224 WEST ERIE
    HARRISON, AR
    ZIP 72601
  • Phone: (870) 741-8289

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NPI Details

MR. Anthony Joseph Rose, PA-C is a surgical physician assistant in Harrison, AR. MR. Anthony Joseph Rose, PA-C NPI is 1629003736. 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:

224 WEST ERIE
HARRISON, AR
ZIP 72601
Phone: (870) 741-8289
Fax: (870) 741-0308

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/8/2010.

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
1363A00000XPhysician Assistant085002770ILLINOISNo
2363A00000XPhysician Assistant92PA15NEW MEXICONo
3363AS0400XPhysician AssistantSurgicalPA-421ARKANSASYes

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
1R13221MEDICARE UPIN
298122MEDICAIDNEW MEXICO

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: 3/30/2025

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