DR. JACKIE ROSE MD
NPI 1073552691
Emergency Medicine in Tyler, TX
NPI Status: Active since June 06, 2006
Contact Information
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
Phone: (903) 597-0351
Fax: (903) 592-5282
- Individual
- Male
- Emergency Medicine
About JACKIE ROSE
This page provides the complete NPI Profile along with additional information for Jackie Rose, a provider established in Tyler, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1073552691 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X with license number H2738 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1073552691
- Provider Name
- DR. JACKIE ROSE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 S BECKHAM AVE TYLER, TX 75701
- Location Phone
- (903) 597-0351
- Location Fax
- (903) 592-5282
- Mailing Address
- PO BOX 6455 TYLER, TX 75711
- Mailing Phone
- (903) 594-2451
- Mailing Fax
- (903) 592-5282
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 11-02-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H2738
- License State
- TX
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8839B6 | MEDICARE PIN (08) | TX | |
| E20041 | MEDICARE UPIN (02) | TX |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 5 | 2 | 6 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 5 | 4 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 5 + 4 + 6 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1073552691 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
ALEKSANDRA OLSSON-DETWILER M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. PAUL J. LIM M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. DANIEL BABER MD
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. COLIN MARINO MD
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. WILLIAM MOORE MD
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. MICHAEL WILLIAMS MD
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
ALEX DETWILER, M.D., P.A.
Specialist
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
SOLON RICHMOND FEATHERSTON III CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
MICHAEL F HOOD CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
MARY SOLAN BENTLEY CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
TERI SPARKS ALEXANDER CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
JOHN GLYNN JEANSONNE CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
APH HOSPITALISTS, P.A.
Specialist
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
DR. SETH PATRICK WOMACK M.D.
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
EDYTHE ANN WOODALL CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
CAROL ANN COCKERHAM CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
EAST TEXAS MEDICAL CENTER SPECIALTY HOSPITAL
Long Term Care Hospital
1000 S BECKHAM AVE
5TH FLOOR
TYLER, TX
ZIP 75701
EAST TEXAS MEDICAL CENTER
General Acute Care Hospital
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
TYLER HOSPITALISTS, P.A.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 75701
PAUL C HABLE M.D.
Emergency Medicine
1000 S BECKHAM AVE
TYLER, TX
ZIP 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.
