The Rose Clinic for Plastic and Migraine Surgery
NPI 1093990210ActiveOrganization· Specialist· Provo, UT
Specialist in Provo, Utah, registered in NPPES in January 2008. The authorized official on file is Kevin G. Rose, M.D., Doctor/Owner.
Overview
| NPI | 1093990210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2008 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 5575028-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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