Individual provider · Type 1 NPI

Tyler Gregory Rose, PA-C

Physician Assistant · Providence, RI

NPI number 1386213916 Active

Practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Call (401) 456-2121 Map

Mailing address

459 East Ave # 3F
Pawtucket, RI 02860-7606

Other practice locations

  • 101 Dudley St, Providence, RI 02905-2401 · (401) 274-1122
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 737-7010

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA01345 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386213916

Tyler Gregory Rose, PA-C's National Provider Identifier is 1386213916, issued on Jun 18, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Jun 20, 2024.