Joshua Roose, DO
Family Medicine, Sports Medicine in Henderson, NV. Individual provider (NPI-1).
NPI number1962018671
StatusActive
Last updated in NPPESJun 26, 2026
Details
- NPI
- 1962018671
- Entity type
- Individual (NPI-1)
- Name
- Joshua Roose
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2020
- Certification date
- Jun 26, 2026
- Last updated
- Jun 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | CL0963 | NV | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | OS21760 | FL | |
| 207QS0010X | Family Medicine, Sports Medicine | 20A24512 | CA |
Practice location
100 N Green Valley Pkwy Ste 325Henderson, NV 89074-6393
Phone 702-986-0921
Mailing address
100 N Green Valley Pkwy Ste 325Henderson, NV 89074-6393
Phone 702-986-0921
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