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

Kenneth D Rose, MD

Individual provider Surgery Physician · NPI 1588658801

Kenneth D Rose, MD is a General Surgery in Enterprise, Oregon. Graduated from Loma Linda University School of Medicine in 1988, 38 years ago. Practices with Wallowa County Health Care District, a 26-clinician group and accepts Medicare assignment. Licensed in Indiana and Oregon.

Years since qualifying
38
Trained at
Loma Linda University School of Medicine
Licensed in
IN, OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

603 Medical Pkwy
Enterprise, OR 97828
Phone: (541) 426-3870
Fax: (541) 426-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 28952 (OR)
Surgery Physician Taxonomy 208600000X · Licence 01055738 (IN)

Record details

NPI number1588658801
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2005
Last updated in NPPESDecember 4, 2012
Mailing address303 S Main St, Suite 212, Mishawaka, IN 46544-2189

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Wallowa County Health Care District — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount