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

Scotty R Rose, PA

Individual provider Physician Assistant · NPI 1780627885

Scotty R Rose, PA is a Physician Assistant in Beckley, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone: (304) 256-7100
Fax: (304) 256-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 624 (WV)

Record details

NPI number1780627885
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

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