MEDICARE: JOAN HELENA ROSE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0105X	Surgery of the Hand (Surgery) Physician	0101037041	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770500290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN HELENA ROSE MD

Provider Business Mailing Address
First Line	:	233 BUSINESS PARK DR
Second Line	:	SUITE 100
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6543
Country	:	US
Telephone Number	:	757-499-6400
Fax Number	:	757-499-3322

Provider Business Practice Location Address
First Line	:	233 BUSINESS PARK DR
Second Line	:	SUITE 100
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6543
Country	:	US
Telephone Number	:	757-499-6400
Fax Number	:	757-499-3322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/16/2011

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