National Provider Identifier
Donovan Jacob Rose, PA-C
Donovan Jacob Rose, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 276-0830.
Profile Overview
- NPI
- 1558045856
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 15, 2023
- Last Updated
- March 20, 2024
Practice Location
- 1870 Winton RD S Ste 100
- Rochester, NY 14618-4011
Phone: (585) 276-0830
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1558045856
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Donovan
- Middle Name
- Jacob
- Credential
- PA-C
- Mailing Street Address
- 1870 Winton RD S Ste 100
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-4011
- Mailing Country
- US
- Mailing Phone
- (585) 276-0830
- Practice Street Address
- 1870 Winton RD S Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-4011
- Practice Country
- US
- Practice Phone
- (585) 276-0830
- Enumeration Date
- June 15, 2023
- Last Updated
- March 20, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)