Healthcare Provider Details

I. General information

NPI: 1316049570
Provider Name (Legal Business Name): RICHARD BARNETT ROSSE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9568 KINGS CHARTER DR # 204
ASHLAND VA
23005-0078
US

IV. Provider business mailing address

PO BOX 342
MANQUIN VA
23106-0342
US

V. Phone/Fax

Practice location:
  • Phone: 804-533-5616
  • Fax: 804-533-4433
Mailing address:
  • Phone: 804-533-5616
  • Fax: 301-560-8244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101037240
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: