Physician Compare National (NPI:1861488827)

HEALTHCARE PROVIDER: JAMES TODD ROSE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861488827
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890763569
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060928000171
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROSE
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	TODD
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	902 W PIERCE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	JAMES TODD ROSE MD
	Group Practice or individual's line 2 address
City	CARLSBAD
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	882205246
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450686
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450876
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LUBBOCK HEART HOSPITAL LP
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450539
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	COVENANT HOSPITAL PLAINVIEW
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	320063
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	CARLSBAD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1861488827)

HEALTHCARE PROVIDER: JAMES TODD ROSE M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information