DR. JACKIE ROSE MD
NPI 1073552691
Emergency Medicine in Tyler, TX

Active since June 06, 2006
1000 S BECKHAM AVE, TYLER, TX 75701(903) 597-0351(903) 592-5282 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jackie Rose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKIE ROSE MD (NPI 1073552691) is an individual emergency medicine provider in Tyler, Texas, licensed in Texas (H2738) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073552691
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACKIE ROSECredential: MD
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing AddressPo Box 6455Tyler, TX 75711-6455 · (903) 594-2451 · Fax (903) 509-0493
Fax(903) 592-5282
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 2, 2007
NPI 1073552691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · H2738
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 S BECKHAM AVE, Tyler, TX 75701

Other Identifiers 2

Medicare PIN8839B6TX
Medicare UPINE20041TX

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Specialist
1000 S BECKHAM AVE
TYLER, TX 75701
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073552691, enumerated as an "individual" on June 06, 2006.

The provider is located at 1000 S BECKHAM AVE TYLER, TX 75701 and the phone number is (903) 597-0351.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.