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

Individual provider Physician Assistant · NPI 1083123012

Mr. Eric Paul Rose, PA-C is a Physician Assistant in Kalamazoo, Michigan. Qualified in 2017, 9 years ago. Practices with Mayo Mitsuya, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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

601 John St
Kalamazoo, MI 49007-5341
Phone: (269) 341-7654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 John St, Kalamazoo, MI 49007-5341 — (269) 341-7654

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008415 (MI)

Record details

NPI number1083123012
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mayo Mitsuya, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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