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General NPI Number Information
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NPI Number | 1972506145
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Entity Type | Individual
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Provider Name | STEPHEN MATTHEW ROSE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 270 E MAIN ST
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City | GALLATIN
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State | TN
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Zip | 37066-2990
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Country | US
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Telephone | 615-675-2000
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Fax | 615-278-1672
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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Country | US
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Telephone | 865-243-8153
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 34059
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 48703
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License Number State | TN
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