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NPI Code Detail

MEDICARE: ROSE INTERNAL MEDICINE LLC

MEDICARE: ROSE INTERNAL MEDICINE LLC
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
1207R00000XInternal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1881158343
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSE INTERNAL MEDICINE LLC
Provider Business Mailing Address
First Line : 2753 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2231
Country : US
Telephone Number : 513-871-7673
Fax Number : 855-871-7673
Provider Business Practice Location Address
First Line : 2753 OBSERVATORY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-2231
Country : US
Telephone Number : 513-871-7673
Fax Number : 855-871-7673
Authorized Official
Title or Position : OWNER
Name : DR. GEOFFREY A ROSE
Credential : MD
Telephone Number : 513-871-7673
Provider Enumeration Date : 01/29/2019
Last Update Date : 01/29/2019

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Directions to “ROSE INTERNAL MEDICINE LLC ” Practice Location

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