Physician Assistant
TYLER ROSE PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386213916 · enumerated 2021-06-18 · record updated 2024-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 825 CHALKSTONE AVE, PROVIDENCE, RI, 02908-4728 (401) 456-2121 Google Maps Apple Maps OpenStreetMap
- Mailing address 459 EAST AVE # 3F, PAWTUCKET, RI, 02860-7606 (860) 575-6412 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X
- Physician Assistant 363A00000X · Primary · License PA01345 RI
In this directory
Locations and evidence
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Practice location
PROVIDENCE, RI, 029084728
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.