Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336390749 Individual Practitioner Male Practitioner

Dr. Jonathan Rivera Rosa , MD

General Practice • Charleston, SC

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Rivera Rosa, MD is a registered healthcare professional specializing in General Practice in Charleston, SC. Practice services are available at 109 BEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Bee St

Charleston, SC 294015703

Telephone 8435775011
Associated Practice Facility / Clinic
🏢 Charleston Vamc Facility NPI 1659320620

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Charleston, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Charleston, SC (173 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 17280

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Pamela Staker , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1003016908

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Susanne Hendricks , RD

Dietitian, Registered

NPI 1003125402

Registered Dietitian

NPI 1003244237

Doctor of Pharmacy (Pharm.D.)

John Painter

Counselor - Pastoral

NPI 1003309196
NPI 1003435876

Licensed Master Social Worker

Renea Bligen , LISW-CP, S

Social Worker - Clinical

NPI 1003561390

LISWCP, S

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 109 BEE ST, CHARLESTON, SC 294015703 (Tel: 8435775011)

📍
Updated Business Mailing Address March 24, 2017

Registered at 109 BEE ST, CHARLESTON, SC 294015703 (Tel: 8435775011)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as JONATHAN RIVERA ROSA, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

General Practice (License #17280 in PR)

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at CORNER OF ROUTE N12 AND N7, FORT DEFIANCE INDIAN HOSPITAL BOARD INC, FORT DEFIANCE, AZ 865040589 (Tel: 9287298000)

📍
Updated Business Mailing Address November 02, 2016

Registered at PO BOX 589, CORNER OF ROUTE N7 & N12, FORT DEFIANCE, AZ 865040589 (Tel: 9287298000)

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as JONATHAN RIVERA ROSA, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

General Practice (License #17280 in PR)

🟢
Initial NPI Registration & Enumeration October 03, 2008

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: 1336390749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2008
Last Update: March 24, 2017
Sole Proprietor: No

Mailing Address

109 Bee St

Charleston, SC 294015703

Phone: 8435775011

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.