NPI Registry.org

Tyler Gregory Rose

NPI Registration Record

Provider / OrganizationNPIDate Certified
TYLER GREGORY ROSE13862139162021-07-12

Tyler Gregory Rose is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386213916. Registration indicates Tyler Gregory Rose is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )

Entity TypeIndividual
Provider Name Tyler Gregory Rose PA-C
Practice Office Address825 CHALKSTONE AVE
PROVIDENCE, RI US
Practice Office Telephone4014562121
Mailing Address459 EAST AVE # 3F
PAWTUCKET, RI 028607606 US
Business Telephone8605756412
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
PA01345
RI
363AM0700XAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Medical

All Other Specialties & Provider Types

Physician Assistant Medical
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
OPI Codes

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