| Walter M Rose, DO | |
|
231 E Chestnut St, Louisville, KY 40202-1821 | |
| (502) 629-6000 | |
| (502) 451-4553 |
| Full Name | Walter M Rose |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 231 E Chestnut St, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639289580 | NPI | - | NPPES |
| 64022403 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 02240 (Kentucky) | Secondary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 02240 (Kentucky) | Primary |
| Entity Name | Norton Childrens Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter M Rose, DO Po Box 713350, Chicago, IL 60677-1392 Ph: (502) 588-9490 | Walter M Rose, DO 231 E Chestnut St, Louisville, KY 40202-1821 Ph: (502) 629-6000 |
Kari Beth Christie, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5851 | |
Blake Evans, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Executive Park, Louisville, KY 40207 Phone: 502-855-7200 Fax: 502-855-7201 | |
Peter S Lansing, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4000 Kresge Way, Louisville, KY 40207 Phone: 502-259-5391 Fax: 502-259-9733 | |
Dr. Mahesh Agrawal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway, Suite 810, Louisville, KY 40202 Phone: 502-583-0909 | |
Dr. Kavita Mehta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 233 E Gray St, Louisville, KY 40202 Phone: 502-629-2880 | |
Richard Booth Harris, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1850 Bluegrass Ave, Louisville, KY 40215 Phone: 502-361-6617 Fax: 502-361-6637 | |
Dr. Randall Joshua Campbell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr, Attn: Ruby Poltner, Louisville, KY 40217 Phone: 502-636-7160 |