SCOTT WILSON ROSE MD NPI 1114371762

NPI Information

  • NPI: 1114371762
  • Provider Name: SCOTT WILSON ROSE, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: MEDICAL CENTER BOULEVARD
    WINSTON SALEM, NC
    ZIP 27157
  • Phone: (336) 716-2718

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NPI Details

Scott Wilson Rose, MD is a cardiovascular disease internal medicine in Winston Salem, NC with 9 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Scott Wilson Rose, MD NPI is 1114371762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2718

The NPI 1114371762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 7/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RC0000XInternal MedicineCardiovascular Disease2019-01186NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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