Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donovan Jacob Rose, PA-C

Individual provider Medical Physician Assistant · NPI 1558045856

Donovan Jacob Rose, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2023, 3 years ago. Practices with Highland Hospital of Rochester, a 401-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1870 Winton Rd S Ste 100
Rochester, NY 14618-4011
Phone: (585) 276-0830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1558045856
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2023
Last updated in NPPESMarch 20, 2024
Certification dateMarch 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Highland Hospital Of Rochester — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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