IndividualActive
Jackie Rose, MD
NPI 1073552691 · Emergency Medicine Physician · Tyler, TX
Jackie Rose, MD is a Emergency Medicine Physician provider in Tyler, TX (NPI 1073552691).
Provider details
- NPI number
- 1073552691
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- H2738 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 597-0351
Fax: (903) 592-5282
Street-level locationGet directions
Mailing address
Po Box 6455
Tyler, TX 75711-6455
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2007-11-02
Frequently asked questions
- What is Jackie Rose's NPI number?
- Jackie Rose's National Provider Identifier (NPI) is 1073552691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Rose's specialty?
- Jackie Rose is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackie Rose located?
- Jackie Rose's practice location on file with NPPES is 1000 S Beckham Ave, Tyler, TX 75701-1908.
- What is Jackie Rose's phone number?
- The practice phone number listed in the NPPES registry for Jackie Rose is (903) 597-0351.
- Is Jackie Rose's NPI active?
- Yes — Jackie Rose's NPI (1073552691) is active in the NPPES registry as of the last update on 2007-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.