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Export Provider Record NPI 1114035748
Robert J RoseMD
Active
NPI Number1114035748
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine, Adult Medicine
Provider Details
NPI1114035748
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-25
Last Updated2010-10-20
Mailing AddressPo Box 28780
Spokane, WA 99228-8780
United States
Phone: (509) 484-6000
📍 View Map
Primary Practice Address9405 N Newport Hwy
Spokane, WA 99218-1242
United States
Phone: (509) 484-6000
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWA1331206
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207QA0505X – Family Medicine, Adult MedicineWAMD00017397
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About NPI 1114035748

Robert J Rose MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114035748. The primary specialty listed is Family Medicine, Adult Medicine. The provider is located in Spokane, WA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114035748?

NPI 1114035748 belongs to Robert J Rose MD, a Family Medicine, Adult Medicine in Spokane, WA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114035748 active?

The current status of NPI 1114035748 in the NPPES registry is Active. The record was last updated on 2010-10-20.

What specialty is NPI 1114035748?

NPI 1114035748 is classified under the taxonomy Family Medicine, Adult Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114035748?

You can verify NPI 1114035748 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114035748?

The primary practice address on file for NPI 1114035748 is 9405 N Newport Hwy, Spokane, WA 99218-1242. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114035748 issued?

NPI 1114035748 was first issued (enumerated) on 2006-08-25. The NPPES record was last updated on 2010-10-20.

Practice Location Map

Robert J Rose is located at 9405 N Newport Hwy, Spokane, WA. Use the map below to find directions or verify the practice location.

📍 9405 N Newport Hwy, Spokane, WA 99218-1242  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Robert J Rose. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114035748. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine, Adult MedicineMD00017397WA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162