JEROME ROSE RT
NPI 1093133092
Radiologic Technologist in Tuba City, AZ

Q: What is Jerome Rose's NPI number?

The NPI number for Jerome Rose is 1093133092. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Jerome Rose's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Rose was last updated on April 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2014

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501 Get Directions Write a Review

NPPES record last updated: April 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerome Rose Rt NPPES

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

JEROME ROSE RT (NPI 1093133092) is an individual radiologic technologist in Tuba City, Arizona, licensed in Arizona (521689) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1093133092

Entity TypeIndividualMale

Primary Taxonomy247100000X

Provider Legal NameJEROME ROSECredential: RT

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2781 · Fax (928) 283-2677

Phone(928) 283-2501

Sole ProprietorNo

Enumeration DateApril 7, 2014

✔ NPI 1093133092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

License✔ Licensed in AZ · 521689

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Providers at the Same Location NPPES 20

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

JIMMIE L TAYLOR RN

Registered Nurse (Ambulatory Care)