Shannon Rose, MD - Hospitalist in Salt Lake City, UT

Shannon Rose, MD is a Hospitalist physician based in Salt Lake City, Utah. Shannon Rose is licensed to practice in California (license number G77178) and her current practice location is 275 E 200 S, Vista, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (800) 366-1884.

NPI number for Shannon Rose is 1932119450 and her current mailing address is 275 E 200 S, Vista, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932119450.

Contact Information

Shannon Rose, MD
275 E 200 S, Vista,
Salt Lake City, UT 84111-4111
(800) 366-1884
(866) 360-6021

Map and Direction




Physician's Profile

Full NameShannon Rose
GenderFemale
SpecialityHospitalist
Location275 E 200 S, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932119450
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 11/24/2009

Medical Identifiers

Medical identifiers for Shannon Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932119450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G77178 (California)Secondary
208000000XPediatrics G77178 (California)Secondary
208M00000XHospitalist G77178 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Rose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Rose, MD
275 E 200 S, Vista,
Salt Lake City, UT 84111-2002

Ph: (800) 366-1884
Shannon Rose, MD
275 E 200 S, Vista,
Salt Lake City, UT 84111-4111

Ph: (800) 366-1884

Reviews and Comments


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