Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shayla S Rose, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1174584791

Dr. Shayla S Rose, MD is an Obstetrics/Gynecology in Lake St Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 1998, 28 years ago. Practices with SSM Health Care St Louis, a 175-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Medical Plz
Lake St Louis, MO 63367-1481
Phone: (636) 625-2662
Fax: (636) 669-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2000152532 (MO)

Record details

NPI number1174584791
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Ssm Health Care St Louis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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