National Provider Identifier

Shannon Derose, RPA-C

Shannon Derose, RPA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7600.

NPI 1407004898Rochester, NYSurgical Physician Assistant

Source: public NPPES record, last updated September 14, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1407004898
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
August 28, 2008
Last Updated
September 14, 2022

Practice Location

  • 125 Red Creek Dr Ste 205
  • Rochester, NY 14623-4262

Phone: (585) 723-7600

Mailing Address

  • 1555 Long Pond RD
  • Rochester, NY 14626-4122

Specialties

  • Surgical Physician Assistant (363AS0400X)

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Biography

Shannon DeRose, RPA-C, is a Rochester-based physician assistant. Public CMS registry information lists her as a certified physician assistant with a Rochester Regional Health direct-messaging address, indicating a local health-system connection.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1407004898
Entity Type
Individual
Last Name
Derose
First Name
Shannon
Credential
RPA-C
Provider Other Last Name
Parker
Provider Other First Name
Shannon
Provider Other Last Name Type Code
1
Mailing Street Address
1555 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4122
Mailing Country
US
Mailing Phone
(585) 723-7281
Mailing Fax
(585) 723-8660
Practice Street Address
125 Red Creek Dr Ste 205
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4262
Practice Country
US
Practice Phone
(585) 723-7600
Practice Fax
(585) 334-6373
Enumeration Date
August 28, 2008
Last Updated
September 14, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 14, 2022
Taxonomies
Surgical Physician Assistant (363AS0400X)
Other Identifiers
03607632 (NY)