Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588658801 Individual Practitioner Male Practitioner

Dr. Kenneth D Rose , MD

Surgery • Enterprise, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Rose, MD is a certified Surgery practicing in Enterprise, OR. With approximately 38 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1988, Dr. Rose delivers high-quality medical care to the local community at 603 MEDICAL PARKWAY.

Dr. Rose is affiliated with Wallowa County Health Care District and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

603 Medical Parkway

Enterprise, OR 97828

Telephone 5414263870
Fax 5414261901
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Enterprise, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs Matches City Avg
City Avg: 38.0 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Enterprise, OR (555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rose (38 Years) 38 Yrs
Enterprise Specialty Average (38.0 Years) 38.0 Yrs

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR 28952

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01055738

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200355260 (IN)

Hospital & Practice Group Affiliations

Wallowa County Health Care District

601 Medical Pkwy, Enterprise, OR 978285124

Phone: 5414265460

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1164456539

Doctor of Medicine (M.D.)

Dr. Renee Grandi , MD

Family Medicine

NPI 1356334601

Doctor of Medicine (M.D.)

Dr. Scott Siebe , MD

Internal Medicine

NPI 1568455822

Doctor of Medicine (M.D.)

Kathleen Siebe , PNP

Nurse Practitioner - Pediatrics

NPI 1750374021

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2012

Registered at 603 MEDICAL PARKWAY, ENTERPRISE, OR 97828 (Tel: 5414263870)

📍
Updated Business Mailing Address December 04, 2012

Registered at 303 S MAIN ST, SUITE 212, MISHAWAKA, IN 465442189 (Tel: 5742553888)

👤
Provider Name / Credentials Updated December 04, 2012

Recorded as KENNETH ROSE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2012

Surgery (License #28952 in OR)

🟢
Initial NPI Registration & Enumeration September 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588658801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2005
Last Update: December 04, 2012
Sole Proprietor: No

Mailing Address

303 S Main St, Suite 212

Mishawaka, IN 465442189

Phone: 5742553888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.