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

Individual provider Medical Physician Assistant · NPI 1154670362

Mr. Thomas Davis Rose Sr., PA-C is a Medical Physician Assistant in Chesapeake, Virginia. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2012
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

605 Lord Nelson Ct
Chesapeake, VA 23320-7912
Phone: (757) 549-5210
Fax: (757) 549-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C0001884 (MD)

Record details

NPI number1154670362
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 4, 2012
Last updated in NPPESSeptember 4, 2012

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