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THE ROSE CLINIC FOR PLASTIC AND MIGRAINE SURGERY
NPI 1093990210
Specialist in Provo, UT

Active since January 07, 2008
320 RIVER PARK DR, SUITE 245, PROVO, UT 84604(801) 375-7673(801) 375-7679 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Rose Clinic For Plastic And Migraine Surgery NPPES

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

THE ROSE CLINIC FOR PLASTIC AND MIGRAINE SURGERY (NPI 1093990210) is a healthcare organization registered as a specialist in Provo, Utah and active in the NPI registry since January 2008. The organization lists Kevin G Rose, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1093990210
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE ROSE CLINIC FOR PLASTIC AND MIGRAINE SURGERY
Location Address320 RIVER PARK DR, SUITE 245Provo, UT 84604-6060
Mailing Address320 River Park Dr, Suite245Provo, UT 84604-6060 · (801) 375-7673 · Fax (801) 375-7679
Phone(801) 375-7673
Fax(801) 375-7679
Organization SubpartNo
Authorized OfficialKevin G RoseDoctor/owner · (801) 375-7673
Enumeration DateJanuary 7, 2008
Last NPPES UpdateJune 13, 2008
✔ NPI 1093990210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 5575028-1205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
320 RIVER PARK DR, Provo, UT 84604
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Other Identifiers 4

Medicaid528431055001UT
Medicare UPINI18411UT
Medicare PINDB1868UT
Medicare PIN0057780UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LA SAL ANESTHESIA, PC
Anesthesiology
320 RIVER PARK DR
PROVO, UT 84604
Utah County (801) 609-4476
DR. EVAN L PERRY D D S
Dentist (General Practice)
320 RIVER PARK DR, SUITE 225
PROVO, UT 84604
Utah County (801) 225-7111
EVAN L PERRY DDS PC
Dentist (General Practice)
320 RIVER PARK DR, SUITE 225
PROVO, UT 84604
Utah County (801) 225-7111
MR. TREVOR KOEL TOMLINSON C.R.N.A.
Nurse Anesthetist, Certified Registered
320 RIVER PARK DR
PROVO, UT 84604
Utah County (801) 830-8738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Rose Clinic For Plastic And Migraine Surgery's NPI number?

The NPI number for The Rose Clinic For Plastic And Migraine Surgery is 1093990210. It was assigned to this organization in the NPPES registry on January 7, 2008.

Where is The Rose Clinic For Plastic And Migraine Surgery located?

The Rose Clinic For Plastic And Migraine Surgery is located at 320 River Park Dr Suite 245, Provo, UT 84604. The listed phone number is (801) 375-7673.

What is The Rose Clinic For Plastic And Migraine Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Rose Clinic For Plastic And Migraine Surgery was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.